Barracudas Swim Club Registration Form

2018-2019 Season

Please complete the below Registration Form. One form is needed per family.

Each year, each family needs to complete a registration form.  The form will allow up to 4 swimmers in a family to be registered.  If you have more than 4 swimmers, please complete the form twice.

By electronically signing the form, you are granting the Barracuda Swim Club permission to have and to use your information strictly for registration and swim team management purposes only.

Please allow pop-ups during registration process as any form errors will be displayed in pop-ups or red text within the document, depending on browser.

Name of First Swimmer:*
Swims with British Team?*
Which Team?
ASA Code (if known):
Gender:*
Birthplace:*
Grade or Year:*
DOB:*
 / 
 / 
Nationality:*
Shirt Size:
Name of Second Swimmer:
Swims with British Team (2)?
Which Team? (2)
ASA Code (if known) (2):
Gender (2):
Birthplace (2):
Grade or Year (2):
DOB (2):
 / 
 / 
Nationality (2):
Shirt Size (2):
Name of Third Swimmer:
Swims with British Team (3)?
Which Team? (3)
ASA Code (if known) (3):
Gender (3):
Birthplace (3):
Grade or Year (3):
DOB (3):
 / 
 / 
Nationality (3):
Shirt Size (3):
Name of Fourth Swimmer:
Swims with British Team (4)?
Which Team? (4)
ASA Code (if known) (4):
Gender (4):
Birthplace (4):
Grade or Year (4):
DOB (4):
 / 
 / 
Nationality (4):
Shirt Size (4):
Sponsor/Parent (Guardian) #1:*
Phone #1:*
E-mail #1:
DOB #1*
 / 
 / 
Birthplace/Nationality #1
Car Make/Model/Color #1
License Plate #1
US Service Families only: DoD ID# from CAC or Ret. ID (For access to RAF pool)
Parent (Guardian) #2:
Phone #2
E-mail #2:
DOB #2
 / 
 / 
Birthplace/Nationality #2
Car Make/Model/Color #2
License Plate #2
Do you have a base PSC address:*
PSC
Box:
APO, AE
Local Address:*
Please list ALL swimmer medical conditions (Asthma, allergies, ADHD, etc.): PLEASE TYPE "NONE" IF NO MEDICAL CONDITIONS TO REPORT*
EMERGENCY CONTACT NAME:*
EMERGENCY CONTACT PHONE NUMBER:*
We wish to pay the Annual Membership Dues:*

I understand that when becoming a member of this organization I shall be jointly and severally liable for any and all obligations which may accrue during the time I am associated with this organization. 

I fully understand and accept the responsibilities that while my child is a member of the Lakenheath Barracudas Swim Club I agree to pay the stated fees and abide by the rules and regulations of the club. I will notify the club to avoid further assessed fees when my child leaves the club.

I understand that the Lakenheath Barracuda Swim Club will collect and store my personal data for swimmer/team registration and team management purposes only (entrance forms for bases, for example).  If I leave the club and no longer wish my data to be stored, I need to utilize the Privacy Tools and/or the process outlined in the Privacy Policy on this page to have my data removed.

I give/do not give permission to publish our names, phone numbers, email addresses for the membership roster:*
By typing your name and submitting this form, your name will be accepted as your signature.*
I give/do not give permission for my child’s name and/or image to be used in various media including newsletters, advertisements, web site (images only), end of year media presentation, military affiliated publications (Stars & Stripes), military affiliated electronic media (AFN/AFRTS), and public media (Local, host nation, U.S. national newspapers, magazines, television) *
By typing your name and submitting this form, your name will be accepted as your signature..*

I understand that the club is required by the EFSL to host major meets (such as the Benelux Divisional Meet or the EFSL Championship Meet) on a regular and rotating basis.  I further understand that as a member of the club, I am expected to volunteer to assist the club with the hosting of these meets, regardless of my child(ren)’s qualification to compete.  The Barracudas will host no more than one major meet per year.

By typing your name and submitting this form, your name will be accepted as your signature .*

PARENTS’ CODE OF ETHICS

I will encourage good sportsmanship by demonstrating positive support for all swimmers, coaches, and officials at every meet and practice.

I will place the emotional and physical well-being of my child ahead of any personal desire to win.

I will insist that my child swims in a safe and healthy environment.

I will provide support for coaches and officials working with my child to provide a positive, enjoyable experience for all.

I will remember that the sport is for children and not for adults.

I will do my best to make swimming fun for my child.

I will ask my child to treat all swimmers, coaches, fans and officials with respect.

PARENT/GUARDIAN SIGNATURE By typing your name and submitting this form, your name will be accepted as your signature.*

SWIMMERS’ CODE OF ETHICS

  • I will encourage good sportsmanship from fellow swimmers, coaches, officials, and parents at every meet and practice.
  • I will attend every practice and meet that is reasonably possible and notify my coach if I cannot.
  • I will do my best to listen and learn from my coaches.
  • I will treat my coaches with respect.
  • I will encourage my parents to be involved with my team.
  • I will do my very best in school.
  • I will remember that swimming is an opportunity to learn and have fun.

SWIMMERS’ CODE OF CONDUCT

As an athlete participating on the Lakenheath Barracuda Swim Club I will always:

  1. Swim for fun!
  2. Work hard to improve my skills.
  3. Develop good practice habits.
  4. Get along with teammates and coaches.
  5. Be on time for practices and meets.
  6. Always be a good sport.
  7. Never argue with an official, I will accept their decision, move on and remain positive.
  8. Respect my coaches, teammates, parents, opponents, and officials.
  9. Inform my coaches of any physical disability or ailment that may affect my safety or the safety of others.

I also agree that if I fail to abide by the aforementioned guidelines, I will be subject to disciplinary action that could include, but is not limited to the following:

-Verbal warning by an official or coach

-Written warning

-Suspension from practice or a meet

-Season suspension

SWIMMER 1 SIGNATURE: By typing your name and submitting this form, your name will be accepted as your signature.*
SWIMMER 2 SIGNATURE: By typing your name and submitting this form, your name will be accepted as your signature.
SWIMMER 3 SIGNATURE: By typing your name and submitting this form, your name will be accepted as your signature.
SWIMMER 4 SIGNATURE: By typing your name and submitting this form, your name will be accepted as your signature.
Date Completed:*
Please solve the math problem so we know a human is completing the form.