Registration Forms

    Excel Aquatics Registration Form

    Financially Responsible Parent




    Emergency Contact


    Family Training Site



    USA Swimming Registration Form

    Swimmer #1






    Disability (check those that apply)

    Legally blind or visually impaired
    Deaf or hard of hearing
    Amputation, cerebral palsy, dwarfism, spinal injury, mobility impairment
    Cognitive ability such as mental retardation, severe learning disorder, autism

    Race and Ethnicity (you may choose up to 2 options):

    Black or African AmericanAsianWhite
    Hispanic or LatinoNative hawaiian or Pacific IslanderOther



    Swimmer #1 Emergency Health Info/Medical Release





    Yes
    No

    Youth L
    Youth M
    Adult S
    Adult M
    Adult L
    Adult XL


    USA Swimming Registration Form

    Swimmer #2






    Disability (check those that apply)

    Legally blind or visually impaired
    Deaf or hard of hearing
    Amputation, cerebral palsy, dwarfism, spinal injury, mobility impairment
    Cognitive ability such as mental retardation, severe learning disorder, autism

    Race and Ethnicity (you may choose up to 2 options):

    Black or African AmericanAsianWhite
    Hispanic or LatinoNative hawaiian or Pacific IslanderOther



    Swimmer #2 Emergency Health Info/Medical Release





    Yes
    No

    Youth L
    Youth M
    Adult S
    Adult M
    Adult L
    Adult XL


    USA Swimming Registration Form

    Swimmer #3






    Disability (check those that apply)

    Legally blind or visually impaired
    Deaf or hard of hearing
    Amputation, cerebral palsy, dwarfism, spinal injury, mobility impairment
    Cognitive ability such as mental retardation, severe learning disorder, autism

    Race and Ethnicity (you may choose up to 2 options):

    Black or African AmericanAsianWhite
    Hispanic or LatinoNative hawaiian or Pacific IslanderOther



    Swimmer #3 Emergency Health Info/Medical Release





    Yes
    No

    Youth L
    Youth M
    Adult S
    Adult M
    Adult L
    Adult XL


    USA Swimming Registration Form

    Swimmer #4






    Disability (check those that apply)

    Legally blind or visually impaired
    Deaf or hard of hearing
    Amputation, cerebral palsy, dwarfism, spinal injury, mobility impairment
    Cognitive ability such as mental retardation, severe learning disorder, autism

    Race and Ethnicity (you may choose up to 2 options):

    Black or African AmericanAsianWhite
    Hispanic or LatinoNative hawaiian or Pacific IslanderOther



    Swimmer #4 Emergency Health Info/Medical Release





    Yes
    No

    Youth L
    Youth M
    Adult S
    Adult M
    Adult L
    Adult XL


    Calculation of Registration Fees





    Training Group
    Months Payable
    1st Swimmer
    2nd Swimmer
    Each Additional Swimmer
    Bronze II Sep - July $55 $45 $35
    Bronze I Sep - July 60 50 40
    Silver III Sep - July 75 65 55
    Silver II Sep - July 85 75 65
    Silver I Sep - July 105 95 85
    Gold II Sep - July 105 95 90
    Gold I Sep - July 115 105 95
    Xtreme Sep - July 125 115 105






    Registrations forms and Payments are to be submitted to your Pool Representative.
    Minimum worker requirements for the fall training season are three requirements per family, but additional requirements for the Spring and Summer Season will be posted separately at a later date. Unmet or missed required work sessions will be billed to your Excel account at $75.00 per unmet or missed session. Sign-up for these sessions is done on the excel website @ www.excelaquatics.org at the Parent Volunteer Sign-up tab.

    Payment Terms and Past Due Policy:

    Statements will be e-mailed to all families by the 10th of the month, unless we receive a request to the contrary. In order to ensure uninterrupted swimming, payment in full must be received no later than the 25th day of the current month. Dues are to be mailed to the address listed on your invoice. Do not leave payments in the Excel mailboxes or send in with swimmers to practice. Any billing errors or questions should be directed to the Billing Coordinator. Swimmers with past due accounts will not be allowed to practice or participate in team sponsored meets. Thirty (30) days advanced written notice is required for any swimmer wishing to leave Excel. Dues will be payable for the current month of swimming and for the next 30 days.

    I understand and agree to the above terms and conditions.


    YesNo


    Upon completion of this form, click the send button to electronicaly register with Excel. Then print the form and enclose it with your check made payable to Excel Aquatics. Mail the form and check to Robyn Painter at 704 Nantucket Circle, Franklin, Tn, 37069.