Swim Team Registration Form "*" indicates required fields 1Parent Information2Child Information3Liability Waiver4Payment Parent InformationParent 1 Name* First Last Parent 1 Phone*Parent 1 Email (This is how all important swim team information will be communicated):* Parent 2 Name First Last Parent 2 PhoneParent 2 Email Swim Club Membership StatusFor membership verification purposes, please include the first and last name of an adult associated with your Carlisle Swim Club membership.Carlisle Swim Club Status* Member Non-Member Carlisle Swim Club Member Name* First Last Rates Swim Club Member Rates Swimmers Rate 1$155 2$300 3$435 4$560 Non-Swim Club Member Rates Swimmers Rate 1$250 2$490 3$720 4$940 Swimmer Sign UpSwimmer Sign Up Child Name Child DOB (MM/DD/YYYY) Actions Edit Delete There are no Children. Add Child Maximum number of children reached. Liability Waiver (please select and sign)Liability Waiver* I, the parent or guardian of the applicant, hereby give my permission for my child(ren) to participate in the Carlisle Swim Club Swim Team and Capital Area Swim League (CASL) during the current season. I certify that the child(ren) is in good health and physically able to participate. I absolve, indemnify and hold harmless the Carlisle Swim Club, CSC board, the coaches and CASL. I realize that I may be required to use my personal insurance coverage, or be otherwise responsible for any expenses resulting from injury. I will furnish, if requested, a certified birth certificate for my child. Photographs are sometimes taken of team activities for publicity and promotional purposes and children's names or information are never used without specific permission. With your signature below, you are releasing Carlisle Swim Club to use photographs of your child(ren) as stated. Parent/Guardian Signature* Refund PolicyA 75% refund will be issued for cancellations made before May 11, 2026, the start of the swim team season. No refunds will be issued for cancellations on or after that date.Payment InformationACH payments are processed at no cost. A credit card processing fee of 2.90% plus $0.30 per transaction will be applied to all transactions paid by credit card. This is the cost to the Carlisle Swim Club to process your credit card transaction. Payment Method* Credit Card ACH This field is hidden when viewing the formToday's Date MM slash DD slash YYYY Late Fee Price: $0.00 Member Registration Rate Price: $0.00 Non-Member Registration Rate Price: $0.00 Required Chicken BBQ Tickets (4 per family) Price: Credit Card Processing Fee Price: $0.00 Total Credit Card* American ExpressDiscoverMasterCardVisaSupported Credit Cards: American Express, Discover, MasterCard, Visa Card Number Expiration Date Month Month010203040506070809101112 Year Year20262027202820292030203120322033203420352036203720382039204020412042204320442045 Security Code Cardholder Name ACH* Account Number SelectSavingsChecking Account Type Routing Number Account Holder Name Order Token