Southwest Iowa Sailfish

Southwest Iowa Sailfish Summer Rec League Swim Team June 9– July 2 Practices: Mon-Thurs 9-10AM Kirn Pool YMCA

Open to swimmers ages 5 –21 who are able to swim the length of the pool unassisted. Meets are Monday evenings at various locations throughout Iowa and Eastern Nebraska. Visit the team website: southwestiowasailfish.shutterfly.com for complete practice and meet schedules

Fee: $50/Season for members and CBCSD students and staff $65/Community participants. For further information please call or email Melissa Chapman 402.917.0032, [email protected]

Contact Melissa at Kirn Pool YMCA [email protected] for more information!

Kirn Pool YMCA In partnership with the CBCSD

100 North Ave ● Council Bluffs, IA ● 328-6458 YMCA Mission: To put Christian principles into practice through programs that build healthy spirit, mind and body for all.

Summer 2015

Sailfish Summer Rec League Dates: June 9-July 2, 2015 Fees: Members and CBCSD students and staff $50/season Community participants $65/season. Today’s Date__________________________Member #_____________________ Swimmer’s Name___________________________________ Date of Birth ____/____/____ Parent(s)Name(if under 18)________________________________________________________ Address_________________________________________Grade _____Age______Gender______ City____________________St______Zip________________School______________________ Home Phone______________Work Phone_________________Ask for?______________________ Email______________________________________________________________(IMPORTANT) Emergency Contact Person____________________Phone#___________________ Does the swimmer have a disability, special need or medical condition the YMCA should be aware of?

_______________________________________________________________________________ _______________________________________________________________________________

Agreement: I hereby certify that the above is in normal health and is capable of safe participation in the YMCA swim team program. I assume all risk(s) and hazards incidental to the conduct of this program and for the transportation to and from the program unless otherwise provided for by the specific program. I hereby authorize the YMCA to obtain medical treatment in the event that the emergency contact cannot be reached. I understand that the YMCA is not responsible for my child past program ending times. I agree to abide by the YMCA cancellation policy as stated below. Cancellation Policy Once you have registered for a class/program, the YMCA begins preparation for the season. If participant cancels participation in program prior to beginning practice, you will receive 75% program credit. Once the program begins, there will be no credits or refunds. Questions: Melissa Chapman, [email protected] Phone : 402.917.0032 Parent Signature________________________________Date_________________