Children's Information
  Child's Name     T-Shirt Size Youth Small (YS) Youth Large (YL) Adult Small (S) Adult Med (M) Adult Large (L) Extra Large (XL)
  Preferred Name

  Birthdate        Child's Age as of June 1st:     5 6 7 8 9 10 11 12 13 14 15 16 17 18     This Child is a .... Boy Girl

  Have you ever swam on another Summer League Swim Team? Yes No
  If yes, What was the team Name and Location?
Parent Information
Email              
  First Name             Last Name     

Spouse or Other Guardian Information:
  First Name              Last Name  

Address            
Address cont'd  

City               State    Zip

Home Phone     Work Phone

Emergency Contact and Number 

This only works with parent Volunteers. Where are your skills best utilized for Volunteer Duties?
Volunteer duties include:Starting, Bullpen, Setup/Cleanup, Timing, Snackbar, Age Group Coordinator, Scorekeeping, or anything else!

. Please make checks payable to : DRRC.

Medical Release
for

Check all that apply:
If any are checked, a statement from the treating physician must be provided, clearing the child to swim.
Cardiac Problems Asthma Seizures Diabetes
Chronic Ear Problems Chronic Illnesses
 Please list any other medical problems such as Allergies / Medications, Other info.

Physician's Name      Physician's Number 
Insurance Company Policy Number

I, ,agree to release Deer Run Recreation Corporation, from any responsibility for property damage, illness, or injury incurred by my child, , at Deer Run. I agree to allow Deer Run Dolphins Staff, or another authority to administer First Aide for my child, if necessary. I, the undersigned, will be responsible for any & all costs of medical attention and/or treatment.  I hereby give permission for any and all medical attention to be administered to my child, in the event of accident, injury or sickness, under the direction of the person(s) below, until such time as I may be contacted. . In case I cannot be reached, any of the following persons are designated to act on my behalf:  * Coach * Assistant Coach * Designee of the Deer Run Dolphins Swim Team. I also assume responsibility for the payment of any such treatment. Deer Run Recreation Corporation will not be held responsible for property damage, illness, or injury incurred by my child at Deer Run.
I have received and read the Rockdale Swim League Rules and Regulations(click here). I understand that these Rules and Regulations will be followed during each dual meetand the final County swim meet. I understand the Rockdale Swim League and itsBoard are volunteer organizations which exist for the sole purpose of providing fun, recreational and competitive swimming for the children of Rockdale County. In the event of an accident, misinterpretation of the Rules and Regulations, misunderstanding or other similar circumstance, I agree to hold blameless the Rockdale Swim League, the Rockdale Swim League Board members, the individual SwimTeam Representatives, Coaches and Team Volunteers during any swim teampractice, dual meet, or authorized Rockdale Swim League event. I also agree that,in the event of an emergency, the Rockdale Swim League, the Rockdale SwimLeague Board members, the individual Swim Team Representatives, Coaches, and Team Volunteers may seek emergency assistance for my child(ren).