Lawrenceburg Swim Team
(BURG)
Fall/Winter swim team begins October and concludes in March
Indiana Swimming (our LSC) requires every swimmer to pay for a USA Swimming card. The cost is $52.00 per swimmer and this card is valid for 1 year. If a student is receiving free or discounted lunches at school, the card can be purchased for $7.00. Those who purchase a swimsuit, goggles, and a cap will be reimbursed at end of season if your swimmer attends at least four meets.
BURG Team Fees: (multiple family discount applies only to those swimmers in the same household)
1st Swimmer: $160 per season or $40 monthly payment plan (payable the 1st of each month thru Feb)
2nd Swimmer: $120 per season or $30 monthly payment plan (payable the 1st of each month thru Feb)
3rd Swimmer: $80 per season or $20 monthly payment plan (payable the 1st of each month thru Feb)
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Registration Information (all information must be completed)
Swimmer #1 First Name______________________ MI________ Last__________________Age:__________ DOB____________
Swimmer #2 First Name______________________ MI________ Last__________________Age:__________ DOB____________
Swimmer #3 First Name______________________ MI________ Last__________________Age:__________ DOB____________
Parent’s or Legal Guardian’s Name(s): ___________________ ____________________
Address:________________________________________________________________
Home Phone:_______________________ Emergency (cell) Phone:____________________
Please make 2 checks payable to: Lawrenceburg Swim Team or LST
(Check #1)Total Dues Paid: $________
(Check #2)Total Number of USA Cards x $52.00 (or $7.00 if discounted): $________
Total Amount Paid: $________
I understand that the Lawrenceburg Swim Team is a self-supported swim team that requires parent involvement. I understand that in order for my child to be a member of this team that I will have to participate in any fundraiser(s) that the team participates in or pay the buy-out of $40.00 if I choose not to participate. I also understand that I am expected to work at any home meet that LST hosts or pay a fee of $25.00 I also understand that if I am paying the LST fees on the monthly payment plan that each month’s payment MUST be paid on or before the 1st of each month or my child is subject to not being permitted to practice.
Parents or legal guardian’s signature:___________________________Date: ________
If you would like to be contacted via email regarding schedule changes, meet information, meet results, and other team information, please provide us with your email address. (will not be shared)
Address #1:_________________________________ how often checked ____________
Address #2:_________________________________ how often checked ____________
downloadable winter registration forms:
winter registration letter.doc