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2021 Registration Form

Parliament Panthers 2021 Swim and Dive Registration


Welcome Back to the Parliament Panther Swim and Dive Team! We are so excited for the 2021 season!  We are very excited for you to join and look forward to seeing you in the pool. In order to register for the Swim and/or Dive Team(s), you must first be a member of Parliament Pool.* Click here to join Parliament Pool

*There is one exception. If you are a member of another pool and your pool does not have an NVSL dive team, then you can join YOUR pool and OUR Dive Team.

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

Danbury Forest

Do you live in Danbury Forest? If so, please talk with a member of the swim and dive committee. *

Permission to Use Phototgraphs

I authorize Parliament Pool the right to take photographs of me and my family in connection with Swim & Dive Team Events. I authorize Parliament Pool, its assigns and transferees to copyright, use and publish the same in print and/or electronically. I agree that Parliament Pool may use such photographs of me without my name and for any lawful purpose, including for example such purposes as publicity, illustration, advertising, End of Year slideshow, and Web content. *

Parliament Pool Member

In order to join the Swim and Dive team, you must be a member of Parliament Pool. If you have not already joined the pool, visit the homepage of the pool for information. Please affirm that you have already joined the Pool for this summer.

There is one exception to this rule. If you are a member of another neighborhood pool and your pool does not have a Dive Team, then you can join our Dive Team.

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Enter your initials to indicate acceptance: *
Parliament Pool Waiver

As the parent(s)/guardian(s) of the above named child, I/we understand that the Parliament Pool Swim/Dive Team Coaches, Representatives, and Parliament Pool cannot accept responsibility for the health and medical care of Swim/Dive participants. The Swim/Dive team does not maintain medical records or medical information with regard to its participants other than the information provided by parent/guardian on this form and the Swim/Dive Coaches and Representatives are relying on the information provided on this form and by parent(s)/guardian(s) signature below that the Swim/Dive participant is in good health and able to participate in the Parliament Pool Swim/Dive activities. The Swim/Dive team and Parliament Pool does not maintain or administer emergency medicines or equipment (such as epi-pens or cardiac equipment). If a Swim/Dive participant has a medical condition which would require the use of such medicines or medical devices, the Swim/Dive participant’s parent(s)/guardian(s) are solely responsible for carrying and administering such medicines/medical equipment. In cases of medical emergencies, the Swim/Dive Coaches, Representatives and Pool lifeguards of the Pool are authorized to call 911.

Parent(s)/guardian(s) understand that the sport of swimming and diving are inherently potentially dangerous sports, and that notwithstanding the swim/dive coaches efforts to assure the safety of all swim/dive participants, participants may incur injuries as a result of their participation. We/I hereby agree to hold Parliament Pool, the Parliament Swim/Dive coaches and Representatives and their directors, volunteers, and agents free from any and all liability, claims, judgment, demands or damages occurring as a result of the swim/dive participant’s participation in Swim/Dive activities, practices, and meets sponsored by Parliament Pool Swim and Dive Team.

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Enter your initials to indicate acceptance: *
NVSL Participation Waiver

As Parent/Guardian of the above-name minor(s), I grant permission for the swimmer(s) to participate in all activities of the Parliament Swim & Dive Team, a Northern Virginia Swimming League (NVSL) member team. I represent and warrant that my minor child/children participating on the Parliament Swim & Dive Team are in good health and have no physical condition, ailment or disability which renders them unable to participate in vigorous physical activity. For and in consideration of benefits derived from participation in the Parliament Swim & Dive Team program, I understand that the risk of injury to my child from the activities involved in these programs is significant, including the potential for permanent disability and death, and while particular rules, equipment, and personal discipline may reduce this risk, the risk of serious injury does exist. I assume all risks and hazards arising out of, or related to, such participation, including, but not limited to, transportation to and from such activities, and do hereby indemnify, release and hold harmless the Parliament Swim & Dive Team, its coaches, team representatives, volunteers, property manager, employees and agents, as well as the Northern Virginia Swimming League, from all claims of any kind whatsoever which may arise or hereafter accrue in connection with my child’s/children’s participation in activities of the Parliament Swim & Dive Team. I further grant permission for first aid to be given to my child/children in an emergency and will be solely responsible for any medical costs which may arise. I AGREE THAT THEY WILL ABIDE BY THE NORTHERN VIRGINIA SWIMMING LEAGUE CODE OF CONDUCT.

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Enter your initials to indicate acceptance: *
COVID 19 Waiver

An inherent risk of exposure to COVID-19 exists in any public place where people are present. COVID-19 is a contagious disease that can lead to severe illness and death. According to the Centers for Disease Control and Prevention, senior citizens and individuals with underlying medical conditions are especially vulnerable.

The Northern Virginia Swimming League (NVSL) cannot prevent you (or your child(ren)) from becoming exposed to, contracting, or spreading COVID-19 while participating in NVSL-sanctioned events. It is not possible to prevent against the presence of the disease. Therefore, if you choose to participate in a NVSL-sanctioned event, you may be exposing yourself to and/or increasing your risk of contracting or spreading COVID-19.

BY ATTENDING OR PARTICIPATING IN PRACICE OR COMPETITION, YOU VOLUNTARILY ASSUME ALL RISKS ASSOCIATED WITH EXPOSURE TO COVID-19 AND FOREVER RELEASE AND HOLD HARMLESS THE PARLIAMENT SWIM AND DIVE TEAM, ITS COACHES, TEAM REPRESENTATIVES, VOLUNTEERS, PROPERTY MANAGER, EMPLOYEES AND AGENTS, AS WELL AS THE NORTHERN VIRGINIA SWIMMING LEAGUE AND ITS OFFICERS, DIRECTORS, AGENTS, EMPLOYEES OR OTHER REPRESENTATIVES FROM ANY LIABILITY OR CLAIMS INCLUDING FOR PERSONAL INJURIES, DEATH, DISEASE OR PROPERTY LOSSES, OR ANY OTHER LOSS, INCLUDING BUT NOT LIMITED TO CLAIMS OF NEGLIGENCE, AND GIVE UP ANY CLAIMS YOU MAY HAVE TO SEEK DAMAGES, WHETHER KNOWN OR UNKNOWN, FORESEEN OR UNFORESEEN, IN CONNECTION WITH EXPOSURE, INFECTION, AND/OR SPREAD OF COVID-19 RELATED TO PARTICIPATION IN PRACTICE OR COMPETITION.

Teams and their pools have taken enhanced health and safety measures for all attending meets; however, we cannot guarantee that you will not become infected with COVID-19. All attending practices and meets must follow all posted instructions while in attendance. An inherent risk of exposure to COVID-19 exists in any public place where people are present. By attending, you acknowledge the contagious nature of COVID-19 and voluntarily assume all risks related to exposure to COVID19.

By choosing to attend practices and meets, you agree to comply with all health and safety mandates and guidelines of the Commonwealth of Virginia, your local government, and the pool at which you are participating, either at your home pool or while competing at another NVSL-member pool.

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Enter your initials to indicate acceptance: *
Volunteer Agreement

We need your help! It takes 36 parent volunteers to run a Home swim meet and 16 parent volunteers for an Away swim meet. It takes 10 parent volunteers to run a Home dive meet and 5 parent volunteers for an Away meet. We have 14 swim meets and 9 dive meets where volunteers are needed. As you can tell, that's a lot of people and we need you!

Volunteer Requirements:
For Swim - Each family is expected to volunteer for at least 6 swim meets
For Dive - Each family is expected to volunteer for at least 3 dive meets

If you have children on both teams, you need to volunteer for both teams.

If you only have a child in minis and s/he does not swim in meets, then you are not required to volunteer.

A $100 Volunteer Fee is due at the time of registration. This will be returned at the end of the season after an adult family member (or approved older child) has worked at least 6 swim meets / 3 dive meets.

Helpful Info:
A brief description of the duties and responsibilities are available in the Team Handbook and on this site under the meet information. If you have questions about any of these positions, please ask the team representatives. We’re here to help!

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Enter your initials to indicate acceptance: *
Concession Donation

Each family is asked to donated 2 12-packs of soda or drinks for sale in concessions. You can bring this to practice any day at the start of the season.

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Enter your initials to indicate acceptance: *
Registration Fee

This isn't a fee. The first swimmer is $115 and every other registration for the family is $110. In order to make it work in Swimtopia, we are charging $110 for each swimmer and then giving each family a $5 *fee* which represents the first fee of $115. Please talk to a member of the Board if you'd like more info. But we promise, you aren't being charged a *fee*.

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