FAMILY REGISTRATION SHEET
2008 / 2009
Parents’ Name: ______________________________________
{Please list BOTH parents}
Address: _________________________ City: ____________ Zip: __________
Home Phone #: ____________________
Dad’s work #: _____________________ Mother’s work #: _________________
Dad’s cell #: ______________________ Mother’s cell #: __________________
Emergency Contacts: Name: _______________________ Phone #: ___________
(May NOT be a parent)
Name: _______________________ Phone #: ___________
1st Email address: __________________________________
2nd Email address: _________________________________ Please be legible.
Swimmer’s Name Middle Initial Date of Birth Group
1) ____________________ _____ __________ _____
2) ____________________ _____ __________ _____
3) ____________________ _____ __________ _____
ALL CHECKS MADE PAYABLE TO FAST.
MAIL TO; 9518 HADDAWAY PLACE, LAUREL MD 20723
FINANCIAL OBLIGATIONS
REFUND POLICY
Families choosing not to continue with the program after October 8th will not be assessed any dues.
After October 8th, families will be assessed at $ 175 / swimmer for each month that swimmer comes to practice.
PAYMENTS
Please follow the due dates listed below.
If NOT paying in full when registering, then valid credit card info MUST be submitted.
PAYMENT OPTIONS
| BLUE I | RED I | BLUE II / RED II |
| 2 payments of 495.00 | 2 payments of 510.00 | 2 payments of 855.00 |
| Due July 26, Nov 15 | Due July 26, Nov 15 | Due July 26, Nov 15 |
| 3 payments of 330.00 | 3 payments of 340.00 | 3 payments of 570.00 |
| Due July 26, Nov 15, Jan 15 | Due July 26, Nov 15, Jan 15 | Due July 26, Nov 15, Apr 15 |
| Full payment of 891.00 | Full payment of 918.00 | Full payment of 1539.00 |
| Due July 26 | Due July 26 | Due July 26 |
MULTIPLE SWIMMER DISCOUNTS
|
|
Blue II, Red II |
Blue I, Red I |
White group |
|
2nd swimmer |
$ 250.00 |
$ 100.00 |
$ 30.00 / session |
|
3rd swimmer |
Take off an additional $ 75.00 |
$ 40.00 / session |
|
Credit Card Info:
MC / VISA Card # -- -- -- Exp. Date: ________
Please charge ONLY program dues to this card. YES NO
Please charge ALL team related expenses to this card. YES NO
I have read all the above and agree to abide by the terms stated above.
_____________________________ _____________
Signed Date
ALL CHECKS MADE PAYABLE TO FAST.