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Registration Form 2016

Welcome to the Briarhills Dolphins 2016 Swim Team Registration form. In order to register, you must be a resident of Briarhills, Oaks of Parkway, Terraces on Memorial, Parkway Villages, Meadow Briar, Lakes of Parkway, Memorial Thicket or zoned to Bush Elementary. If you have any questions about whether you are zoned to our team, please contact Stephanie Brewster at bhst@swimwhale.com.

Parent/Guardian Information

At least one parent/guardian registration is required.
New accounts will be sent an email confirmation message with instructions to setup a password.

At least one parent/guardian email address must be provided.
Check the boxes to indicate which parent/guardians should receive team-wide emails.

First Name * Last Name * Email Address *
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Primary Phone

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Athlete Information

Enter the information for each athlete being registered below. At least one Athlete registration is required.

Please note: The following groups are filled. Registrations will NOT be accepted for Athletes in these groups.

Boys 6 & Under, Girls 7-8, Boys 7-8, Boys 9-10, Girls 11-12, Boys 11-12, and Boys 13-14

If you are receiving this message it is because registration is full for one or more of the age groups you are trying to register. 

First Name * Preferred Name Middle Initial Last Name * Gender * Birth Date *
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Home Address

YOUR RESIDENCE

Where do you currently reside? *

SUMMER SWIMMERS

Are you a returning Briarhills Dolphin? *

YEAR ROUND SWIMMERS

Does your child swim competitively year round with a team such as Energy Core Swimming, Dad's Club, Katy Aquatics, etc? *

​2016 West Houston Aquatic League, Inc. Parental Release & Consent

RELEASE OF LIABILITY FOR PARTICIPANTS/SWIMMERS

IN CONSIDERATION OF my child(ren)/ward(s) being allowed to participate in any way in

the West Houston Aquatic League, Inc. (WHALE) related events, and activities, the

undersigned acknowledges, appreciates, understands, consents, and agrees that:

1. The risk of injury to my child(ren)/ward(s) from the activities involved in this program is

significant, including the potential for permanent disability and death, and while particular

rules, equipment, and personal discipline may reduce this risk, the risk for serious injury

does exist; and,

2. I FOR MYSELF, SPOUSE, AND CHILD(REN)/WARD (S), KNOWINGLY AND FREELY

ASSUME ALL SUCH RISKS, both known and unknown, EVEN IF ARISING FROM THE

NEGLIGENCE OF WHALE, or others, and assume full responsibility for my

child(ren)/ward(s) participation; and,

3. I willingly agree to comply with the program’s stated and customary terms and conditions

for participation. If I observe any unusual significant concern in my child(ren)/ward(s)

readiness for participation and/or in the program itself, I will remove my child(ren)/ward(s)

from the participation and bring such attention of the nearest official immediately; and,

4. I for myself, my spouse, my child(ren)/ward(s), and on behalf of my/our heirs, assignees,

personal representatives and next of kin, HEREBY RELEASE AND HOLD HARMLESS

WHALE; Its’ directors, officers, officials, agents, employees, volunteers, other participants,

sponsoring agencies, sponsors, advertisers, and if applicable, owners and lessor premises

used to conduct the event (“Releasees”), WITH RESPECT TO ANY AND ALL INJURY,

DISABILITY, DEATH, or loss or damage to person or property incident to my

child(ren)/ward(s) involvement or participation in these programs, WHETHER ARISING

FROM THE NEGLIGENCE OF THE RELEASEES OR OTHERWISE, to the fullest extent

permitted by law; and

5. I, for myself, my spouse, my child(ren)/ward(s), and on behalf of my/our heirs, assignees,

personal representatives and next of kin HEREBY INDEMNIFY AND HOLD HARMLESS all

of the above Releasees from any and all liabilities incident to my child(ren)/ward(s)

involvement or participation in these programs, EVEN IF ARISING FROM THEIR

NEGLIGENCE, to the fullest extent permitted by law.

I HAVE READ THIS RELEASE OF LIABILITY, FULLY UNDERSTAND ALL

TERMS, UNDERSTAND THAT I HAVE GIVEN UP SUBSTANTIAL RIGHTS BY SIGNING,

AND SIGN THIS RELEASE & CONSENT FREELY AND VOLUNTARILY WITHOUT

INDUCEMENT.

*
Enter your initials to indicate acceptance: *
Non-Refundable Registration Fees

I acknowledge that the registration fees paid today are non-refundable should I choose to cancel for any reason after registering. 

If Briarhills coaches or directors, decide within the first 2 weeks of practice that my child is not ready for swim team this year, my registration fees will be refunded less $30 per swimmer. 

*
Enter your initials to indicate acceptance: *