Please enable JavaScript in your browser to complete this form.Divers Name *FirstLastAddress with Zip code *Date of Birth *Gender *FemaleMaleParent/Guardian Name *FirstLastParent Email *Fall programs *Junior OlympicIntermediateFuture Champions 2Future Champions 1Learn To Dive AprilLearn to Dive MayTryoutDays You Are TrainingMondayTuesdayWednesdayThursday Days Allergies, relaese Address (if different from diver)Phone Number *Parent/Guardian NameEmailPhone NumberMedical Conditions, Medication, Allergies, Learning IssuesMedical release *I agreeMedical Release- In the event that an injury occurs to my child while on the pool premises and I am unable to be reached, I hereby give my permission for a representative of San Antonio Divers to seek medical treatment. I also authorize any and all emergency medical and hospital care and treatment deemed necessary by a duly licensed physician at any medical facility for the health and well-being of my child. I assume all responsibility for payment of any and all medical expenses involved in my child’s treatment. * • • By checking the box, I agree to the above statement. Photographs and video relaese *I agree to allow my child to be photograpedI do not want my child photographedPermission for San Antonio Divers to use your child's photograph or video image for advertise-ment, website or promotion, and/or acknowledge their personal performance. * Submit
