Registration - no payment required - Big Spring Aquatic Club

Per Swimmer Fee Structure

REGISTRATION TYPE	TOTAL DUE AT REGISTRATION
Swimmer - 9 years old and over	$180
Swimmer - 8 years old and under	$130
Two Week Trial (non-refundable but applied to full fee if staying with the club)	$50
High School Swim Team Member must commit to participate in 2 meets for this rate	$30 **

REGISTRATION TYPE	TOTAL DUE AT REGISTRATION
Swimmer	$180
Mini Swimmer (same for all mini's)	$130
Diver (not swimming)	$100
Swimmer and Diver	$190
Two Week Trial (applied to full fee if staying with the club)	$50
Big Spring High School Swim Team Member must commit to participate in 2 meets for this rate	$10 **

Athlete Information...

Athletes Name*

First Middle Last

Sex*

Male
Female

Athlete Birth Date*

Age - as of 06/01/2022*

High School Swim Team Member?*

No
Yes

Trial Swimmer (2 weeks)?*

No
Yes

Registering Additional Athlete 2?*

Yes
No

Additional Athlete 2 Name*

First Middle Last

Athlete 2 Sex*

Male
Female

Athlete 2 Birth Date*

Athlete 2 Age - as of 06/01/2022*

Athlete 2 - High School Swim Team Member?*

No
Yes

Athlete 2 - Trial Swimmer (2 weeks)?*

No
Yes

Registering Additional Athlete 3?*

Yes
No

Additional Athlete 3 Name*

First Middle Last

Athlete 3 Sex*

Male
Female

Athlete 3 Birth Date*

Athlete 3 Age - as of 06/01/2022*

Athlete 3 - High School Swim Team Member?*

No
Yes

Athlete 3 - Trial Swimmer (2 weeks)?*

No
Yes

Registering Additional Athlete 4?*

Yes
No

Additional Athlete 4 Name*

First Middle Last

Athlete 4 Sex*

Male
Female

Athlete 4 Birth Date*

Athlete 4 Age - as of 06/01/2022*

Athlete 4 - High School Swim Team Member?*

No
Yes

Athlete 4 - Trial Swimmer (2 weeks)?*

No
Yes

Registering Additional Athlete 5?*

Yes
No

Additional Athlete 5 Name*

First Middle Last

Athlete 5 Sex*

Male
Female

Athlete 5 Birth Date*

Athlete 5 Age - as of 06/01/2022*

Athlete 5 - High School Swim Team Member?*

No
Yes

Athlete 5 - Trial Swimmer (2 weeks)?*

No
Yes

Parent/Guardian Information...

Primary Parent/Guardian Name*

First Last

Relation to swimmer*

Primary Parent/Guardian Email*

Enter Email Confirm Email

Address*

Street Address Address Line 2 City State ZIP Code

Primary Parent/Guardian Home/Mobile Phone*

If Mobile, Please Select Your Providor:

Please Provide Your Service Providor:

Okay To Receive Text Message?

Yes
No

Primary Parent/Guardian Secondary Home/Mobile Phone

If Mobile, Please Select Your Providor (Secondary):

Please Provide Your Service Providor (Secondary):

Okay To Receive Text Message (Secondary)?

Yes
No

Do you wish to provide Secondary Parent/Guardian Information?*

Yes
No

Secondary Parent/Guardian Name

First Last

Relation to swimmer

Secondary Parent/Guardian Email

Enter Email Confirm Email

Secondary Parent/Guardian Primary Home/Mobile Phone

If Mobile, Please Select Your Providor:

Please Provide Your Service Providor:

Okay To Receive Text Message?

Yes
No

Secondary Parent/Guardian Secondary Home/Mobile Phone

If Mobile, Please Select Your Providor (Secondary):

Please Provide Your Service Providor (Secondary):

Okay To Receive Text Message (Secondary)?

Yes
No

Emergency Contact Information...

Emergency Contact Person if above parents cannot be reached:*

First Last

Emergency Contact Person Primary Home/Mobile Phone*

Emergency Contact Person Secondary Home/Mobile Phone

Family Physician:*

Physician Phone*

Indicate any special medical conditions/concerns:

Allergies:

Policy Acceptance ...

You must be 18 years of age OR the parent/legal guardian of a minor under 18 years of age OR the legal guardian of an incapacitated and/or mentally challenged person in order to agree to the text below.

By checking this box, I confirm that I am 18 or older.*

Agree

I hereby assume all responsibility for accidental injuries in connection with the program. I realize that I must use my personal insurance coverage or be otherwise responsible for any expenses resulting from such injury. I will not hold the BSAC nor CPAL liable for any injury which may occur while this swimmer participates in the swim league.*

Agree

I/We understand that in and sporting event, there is a possibility of injury. I fully understand the risk involved and give permission for my son/daughter to participate, and I am responsible for my own insurance.*

Agree

I hereby grant permission for the above named athletes to receive emergency medical treatment necessary at an authorized medical institution should an injury occur. Furthermore, I will not hold any coach, official, or other BSAC authority responsible for any accident or injuries incurred to my child during the BSAC activity. I am also aware that transportation to and from practices and the swim meets is my responsibility.*

Agree

ALL Athletes and Parents Must Read and Accept!

Click to read the BSAC Athlete Code of Conduct! – Print / Download (PDF)

View Online

BIG-SPRING-AQUATIC-CLUB-ATHLETE-CODE-OF-CONDUCT

ALL Athlete(s) being registered under this submission have read, understand, and accept the Big Spring Aquatic Club Athlete Code of Conduct*

Agree

Parents registering their swimmers under this submission have read, understand, and accept the Big Spring Aquatic Club Athlete Code of Conduct*

Agree

COVID-19 Guidelines ...

I/We understand that the COVID-19 guidelines set forth by the CDC, local authorities, and/or the Big Spring Aquatic Club must be followed. Guidelines such as, but not limited to: (a) wear a face mask when speaking with the coaching staff, (b) wash or sanitize hands before and after your workout, (c) adhere to State and/or local requirements regarding face covering requirements, (d) practice social distancing by trying to stay 6 feet away from others that do not live in your household, (e) stay home if the children or parents become ill. I fully understand these guidelines are in place for the safety of all involved and that if I or my swimmer are found in violation of these guidelines, we may be asked to leave the event.*

Agree

I/We will NOT attend nor bring our child(ren) to any club practice or event if any of us are exhibiting any signs of illness.*

Agree

I/We understand that restrictions on how practices are run, meets are conducted, and the ability/inability to have spectators are out of the control of the Big Spring Aquatic Club. The Club has agreed to follow all guidelines set forth by the Big Spring School District and requires all families to adhere as well.*

Agree

Signature to Confirm Policy Acceptance*

Fee Information & Payment...

Athlete 1 - High School Swim Team Member

Price:

Athlete 1 - Trial

Price:

Athlete 1 - Trial

Price:

Athlete 1 - 8+U Swimmer Registration

Price:

Athlete 1 - 9+O Swimmer Registration

Price:

Athlete 1 - 9+O Swimmer Registration

Price:

Athlete 2 - High School Swim Team Member

Price:

Athlete 2 - Trial

Price:

Athlete 2 - Trial

Price:

Athlete 2 - 8+U Swimmer Registration

Price:

Athlete 2 - 9+O Swimmer Registration

Price:

Athlete 2 - 9+O Swimmer Registration

Price:

Athlete 3 - High School Swim Team Member

Price:

Athlete 3 - Trial

Price:

Athlete 3 - Trial

Price:

Athlete 3 - 8+U Swimmer Registration

Price:

Athlete 3 - 9+O Swimmer Registration

Price:

Athlete 3 - 9+O Swimmer Registration

Price:

Athlete 4 - High School Swim Team Member

Price:

Athlete 4 - Trial

Price:

Athlete 4 - Trial

Price:

Athlete 4 - 8+U Swimmer Registration

Price:

Athlete 4 - 9+O Swimmer Registration

Price:

Athlete 4 - 9+O Swimmer Registration

Price:

Athlete 5 - High School Swim Team Member

Price:

Athlete 5 - Trial

Price:

Athlete 5 - Trial

Price:

Athlete 5 - 8+U Swimmer Registration

Price:

Athlete 5 - 9+O Swimmer Registration

Price:

Athlete 5 - 9+O Swimmer Registration

Price:

Total

$0.00