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San Dieguito Sea Dragons

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Can your athlete swim 25 yards unassisted?
Yes
No
Is your child comfortable in deep water (8+ feet)?
Yes
No

Parent/Guardian Information

Emergency Contact. Must list a non-parent emergency contact.

Medical Information and Release

Permission to give Tylenol or Ibuprofen if needed?
Yes
No

USAAS One Day Membership form. Please upload completed form.


I hereby certify that my athlete is physically able to participate in the San Dieguito Sea Dragons Artistic Swimming Program. I certify that my Athlete is physically able to participate in artistic swimming and has no physical condition that prevents or precludes their participation, or any condition that would be aggravated by their swimming.

I understand that participation in this activity could expose him/her to risk of personal injury, death, or property damage. I acknowledge that he/she is voluntarily participating in this activity with the agreement to assume any such risks for any injury, death or damage to or loss of personal property arising out of, or in connection with the San Dieguito Sea Dragons Artistic Swimming program.

To the fullest extent allowed by law, I hold harmless and agree to indemnify San Dieguito Sea Dragons, its officers, Board, agents, volunteers, or employees from and against any claim, cause of action, loss or liability for injury to person or property, which participant may suffer or for which participant may be liable to any other person, resulting from any cause, and regardless of fault, related to artistic swimming program.

In the event of an emergency requiring medical treatment, I grant permission for any and all medical attention deemed necessary to be administered to my athlete until I am contacted. I understand that any resulting expenses or charges are my responsibility. If I cannot be reached in the event of an emergency, I give the listed emergency contact permission to act on my behalf.

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