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Registration Form - FY20 - Fall 2019

Thank you for your interest in the Jammin' Jellyfish.  If you are a returning family, please login to facilitate your registration process and update your contact information as necessary. 

FY 2020 - Fall Session: Sep 30, 2019 to Dec 20, 2019

Practice Locations:

Troy Middle School (T)1976 Burdett Avenue
Troy, NY 12180
Mohonasen High School (M)2072 Curry Road
Schenectady, NY 12303
UAlbany (A)1400 Washington Avenue
Albany, NY 12222

Practice Time:

  • Beginners Level will practice for no more than 90 minutes
  • Troy
    • Monday (6:30 pm - 8:30 pm)
    • Wednesday (6:30 pm - 8:30 pm)
  • Mohonasen
    • Monday (6:00 pm - 7:00 pm - Squid Squad Only)
    • Tuesday (6:30 pm - 8:30 pm)
    • Thursday (6:30 pm - 8:30 pm)
    • Friday (6:00 pm - 7:30 pm)
  • NOTE - if you sign up for Squid, you can ONLY go to Monday's session

  

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.

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

Practice Day Preference

Please note that this will be honored on a first come first serve basis - if your selected day is full, we will contact you to discuss alternative days *

Acknowledgement

REQUIRED FOR ALL PROGRAMS: PARTICIPANT RELEASE OF LIABILITY

In consideration of being allowed to participate in any way in the program, related events and activities, I acknowledge e, appreciate and agree that:

  1. The risk of injury from the activities involved in this program is significant, including the potential forpermanent paralysis and death and while particular rules, equipment and personaldiscipline may reduce this risk, the risk of serious injury does exist and,
  2. I KNOWINGLY AND FREELY ASSUME ALL SUCH RISKS, both known and unknown, EVEN IFARISING FROM THE NEGLIGENCE OF THE RELEASES or others and assumes full responsibility for myparticipation; and
  3. I willingly agree to comply with the stated and customary terms and conditions of participation. Ifhowever I observe any unusual significant hazard during my presence or participation, I will removemyself from participation and bring such to the attention of the nearest official immediately, and,
  4. I, for myself and on behalf of my heirs, assigns, personal representatives and next of kin, HEREBYRELEASE, INDEMNIFY AND HOLD HARMLESS The Jammin’ Jellyfish Swim Club inc., their officers,coaches, and/or employees, other participants ,sponsoring agencies, sponsors, advertisers and,if applicable, owners and lessorof premises used to conduct the event (RELEASEES, WITH RESPECTTO ANY AND ALL INJURY, DISABILITY, DEATH, or loss or damage to person or property. WHETHERARISING FROM THE NEGLIGENCE OF THE RELEASEES OR OTHERWISE, to the fullest extent permitted bylaw.

I HAVE READ THIS RELEASE OF LIABILITY AND ASSUMPTION OF RISK AGREEMENT, FULLY UNDERSTAND ITS TERMS, UNDERSTAND ITS TERMS, UNDERSTAND THAT I HAVE GIVEN UP SUBSTANTIAL RIGHTS BY AGREEING TO IT, AND ACCEPT FREELY AND VOLUNTARILY WITHOUT INDUCEMENT. FOR PARENTS/GUARDIANS OR PARTICIPANT OF MINOR AGE: (UNDER AGE 18 AT TIME OF REGISTRATION)

This is to clarifythat I, as parent/guardian with legal responsibility for this participant, do consent and agree to his/her release as provided above of all the Releasees, and, for myself, my heirs, assigns and next of kin, I release and agree to indemnify and hold harmless the Releasees from any and all liability incidents to my minor child’s involvement or participation in these programs as provided above, EVEN IF ARISING FROM THE NEGLIGENCE OF THE RELEASEES, to the fullest extent permitted by law.

Cancellation Policy for Programs: No refunds will be issued for withdrawal from any program once the program has started unless accompanied by a doctor's note and written approval by the Head coach. Please note that a processing fee may apply to any cancellation not accompanied by a doctor's note.

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Enter your initials to indicate acceptance: *
Photo Release

Please be advised that your athlete may be photographed or video taped at various team practice or events. If you agree to having your athlete's image appear on the team website or social media accounts, please opt-in by selecting the check-box below and provide your initials. Thank you.

Enter your initials to indicate acceptance:

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