High Lane Club
2022 Swim or Dive Team Registration
Only HLC members are eligible to participate on HLC swim team. You must be a current member in good standing.
Registration information and payment due by June 10th!
Please be sure to complete swimsuit purchase on the additional side bar menu.
Child’s First and Last Name, Age.
1._____________________________________________________________
2._____________________________________________________________
3._____________________________________________________________
Parent’s name(s):________________________________________________
Email for Team communication:____________________________________ Phone:_____________________
Emergency Contact Name:_________________________________________
Emergency Contact Phone:_________________________________________
Swim Team Cost:
Discounts for multiple children! Sign up the whole gang! We Love a family of swimmers!
- 2nd child: $250 total or $125 per child
- 3rd child $345 total or $115 per child
Dive Team:
$25 if you are a active member of swim team.
$100 if you are not a member of swim team.
Amount Paid:__________ CK#__________ Charge HLC Account: Y /N
Yes,___ (please √) my child(ren)________________________ can be used in photography and video
for any legal use of publicity/advertising/web content.
No, ___ (please √) my child(ren) ____________________ is NOT permitted in photography and video
for any legal use of publicity/advertising/web content.
**Each parent will be required to be a Time keeper (during all meets). Schedule to follow.
Thank You!
