Grosse Pointe Swim Camp Summer 2010

OPERATED BY Pointe Aquatics

NEW AND RETURNING SWIMMERS can complete and submit the following form.

The coach will be av= ailable at the Grosse Pointe North Pool the on June 21st

= at practice to accept payments and signed Medical Emergency Forms.

Coach Mike O'Connor = can be contacted at pointeaquatics= @msn.com.

PARENTS OR SWIMME= RS WISHING TO BE INFORMED OF PRACTICE UPDATES AND

CHANGES SHOULD SEND AN EMAIL TO THIS ACCOUNT AND ASK TO BE ADDED

TO THE CONTACT LIST.

ALL INFORMATION CONCERNING THE GROSSE POINTE SWIM <= st1:PlaceType w:st=3D"on">CAMP CAN BE

FOUND ON THE POINTE AQUATICS website at http://www.p= ointeaquatics.com . THE

WEBSITE ALSO PROVIDES 24-HR SCHEDULE AND ACTIVITIES UPDATES.

SWIMMERS SHOULD CHECK DAILY FOR CHANGES.=

DURING ANY GIVEN MONTH, THERE ARE ACTIVITIES, INCLUDING MEET

PARTICIPATION AND CONSTRUCTION AT GROSSE POINTE NORTH HIGH

SCHOOL WHICH MAY = CONFLICT WITH SWIM PRACTICES.

CHECK THE WEBSITE= FOR SCHEDULE CHANGES.

The Grosse Pointe Public School System requests that parents

make sure swim group= s are in session before leaving children at the pool.

Children should be d= ropped off no earlier than 15 minutes before practice begins

and picked upno later than 15 minutes after practice ends.<= /o:p>

Swimmers should bring a lock for hi= s/her use in the locker room. Locks= must be removed

after each practice. Swimmers also have the option of leaving their sport bags on the=

pool deck during pra= ctice.

The = Grosse Pointe Public School System assumes no responsibility for swimmers' personal articles.

PRACTICES ARE CLO= SED TO ALL PARENTS AND SPECTATORS AT=

THE GROSSE POINTE= NORTH POOL.

As always, coaches a= re available before and after practice.

The Summer Sessio= n will run from 6/21/10 thru 7/28/10

Practice Times: M= onday through Friday

AM Practice: 6:30 - 8:30

PM Practice: 2:30 - 4:30

OPTION A: 1 workout per day choice of AM or PM workout.

Session Fee: $265.00

OPTION B: 2 workouts per day (DOUBLE WORKOUTS BEGIN JUNE 21^=
st, END JULY 21^ST )

Session Fee: $365.00

PRACTICES SUBJECT TO CHANGE THE WEEK OF JULY th TO COMPLY= WITH MHSSA RULES

AND THE 4^TH OF JULY HOLIDAY

= ;

ALL FEES MUST BE PAID IN FULL BEFORE PARTICIPATING IN TRAINING SESSI= ONS.

Grosse Pointe Swim Camp OPERATED BY Pointe Aquatics

Summer 20<= /b>10

Swimmers Information &= amp; Group Selection:

OPT= ION 1

OPT= ION 2

OPT= ION 1

OPT= ION 2

OPT= ION 1

OPT= ION 2

    First Name

Initial

          Last Name
Birth Date dd/mm/yy

Sex m/f

&= nbsp;

# of

&= nbsp;

&= nbsp;

Option 1

Swimmers x $265 =3D<= /span>

$

Option 2

Swimmers x $365 =3D<= o:p>

$

MAKE CHECKS PAYABLE TO: POINTE AQUATICS

Total Due:

$

<= /p>

USA REGISTRATION (SEASONAL SWIM CARD)    IF NEEDED=

Swimmers x $34=3D

$

Only swimmers that did not participate in the Fall/Winter

Sess= ions will need a Seasonal Swim Card

Parent’s Information =

Last Name of Parent        = ;          Father’s First Name           &nb= sp;           Mother’s First Name

Street Address           =       City           &nb= sp;     Zip Code

Father’s Employer           = ;            &n= bsp;            = ;            &n= bsp; Occupation

Father’s:     Home Phone            Office Phone           = Cell Phone

Mother’s Employer           = ;            &n= bsp;            = ;            &n= bsp; Occupation=

Mother’s:    Home Phone            Office Phone           = Cell Phone

MEDICAL EMERGENCY INFORMATION

Names of Two Relatives or Neighbors Who Can Be Reached In Case Of Emergency<= /p>

Name          &n= bsp;         Address           =             &nb= sp;   Phone #

Name          &n= bsp;         Address           =             &nb= sp;   Phone #

PLEASE LIST ANY MEDICAL INFORMATION ABOUT YOUR CHILD THE COACH SHO= ULD KNOW

Check Here         and continue on back= if necessary<= /p>

I hereby give permission for emergency medical treatment= of my child and will be responsible for payment of bills.

As parent/legal guardian, and in consideration of accept= ance of membership in Grosse Pointe Swim Camps/ Pointe Aquatics (PA), I hereby,<= o:p>

for myself= , my child (children), heirs, administrators and assigns, waive and release any = and all claims against Grosse Pointe Swim Camps/

Pointe Aqu= atics (PA) for injuries and expenses incurred by my child or myself at swim practices, swim meets, or on the road to/from said meets.=

By registering for the activity listed above, I verify t= hat my child (children) is (are) physically able to participate without restrictions

in the program as documented by a medical examination or= my belief that my child (children) is (are) in good health.<= /b>

I hereby give permission to use the name and likeness of= my child (children) in connection with activities and announcements that may

include pictures of the swimmers on the Grosse Pointe Sw= im Camps/Pointe Aquatics (PA) website.

Parent/Guardian Signature:_______________________________________Date:_____________________=

<= /span>

					OPT= ION 1	OPT= ION 2
					OPT= ION 1	OPT= ION 2
					OPT= ION 1	OPT= ION 2
First Name	Initial	Last Name	Birth Date dd/mm/yy	Sex m/f

&= nbsp;	# of	&= nbsp;	&= nbsp;
Option 1		Swimmers x $265 =3D<= /span>	$
Option 2		Swimmers x $365 =3D<= o:p>	$

MAKE CHECKS PAYABLE TO: POINTE AQUATICS		Total Due:	$
<= /p>
USA REGISTRATION (SEASONAL SWIM CARD) IF NEEDED=		Swimmers x $34=3D	$
Only swimmers that did not participate in the Fall/Winter Sess= ions will need a Seasonal Swim Card