Terms and conditions

STATEMENT OF RELEASE AND CONSENT FORM

Applicable to: Regional B Regional B 4 Lessons Regional A Provincial Group Seals 1 Seals 2 Seals 3 Seals 4 Seals 5 Seals 6 Seals 7

I, the parent/guardian of the swimmer(s) named above agree both to allow him/her to participate in any

meets or practices sponsored by DYNAMO SWIM CLUB and that he/she will abide by the rules of the

club and of Swim BC, recognizing the potential for physical injury associated with swimming. I hereby

release, discharge, and/or indemnify DYNAMO SWIM CLUB from any claim by or on behalf of the athlete

as a result of his/her participation in club practices and/or Swim BC and SNC sanctioned swim meets.

In addition, I give consent for emergency medical care prescribed by a fully licensed doctor or dentist

which may be necessary to preserve the life, limb or well-being of my dependent.