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2019 Registration Form

Parent/Guardian Information

At least one parent/guardian registration is required.
New accounts will be sent an email confirmation message with instructions to setup a password.

At least one parent/guardian email address must be provided.
Check the boxes to indicate which parent/guardians should receive team-wide emails.

First Name * Last Name * Email Address *
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Primary Phone


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Athlete Information

Enter the information for each athlete being registered below. At least one Athlete registration is required.

First Name * Preferred Name Middle Initial Last Name * Gender * Birth Date *
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Home Address

ASA 2019 Waiver With Fees

I hereby verify that the information above is correct, and in consideration of the above named swimmer(s) being allowed to participate in any way in the Atlanta Swim Association, related events and activities (the ASA Programs"), the undersigned acknowledges, appreciates and agrees that: 1. The risk of injury from the activities involved in the ASA Programs is significant, including the potential for permanent disability and even death, and while particular rules, equipment and personal discipline may reduce the risk, the risk of serious injury to the Swimmer does exist; and 2. On behalf of Swimmer, myself and spouse, I KNOWINGLY AND FREELY ASSUME ALL SUCH RISKS, both known and unknown, EVEN IF ARISING FROM THE NEGLIGENCE OF RELEASEES or others, and assume full responsibility for the participation of Swimmer in the ASA Programs; and 3. On behalf of Swimmer, I willingly agree to comply with the states and customary terms and conditions for participation in the ASA Programs. If I observe any unusual significant concern in the readiness of Swimmer for participation or in the ASA Programs, I will remove Swimmer from participation and bring such to the attention of the nearest official immediately, and 4. On behalf of Swimmer, myself, my spouse and our heirs, personal representatives and next of kin, I HEREBY RELEASE THE ATLANTA SWIM ASSOCIATION and CAPITAL CITY SPORTS, INC , its directors, officers, agents and/or employees, other participants, sponsoring agencies, facility owners and lessor, sponsors and advertisers (the "Releasees"), WITH RESPECT TO ANY AND ALL INJURY, DISABILITY, DEATH, or loss or damage to person or property incident to Swimmer's involvement or participation in the ASA Programs, WHETHER ARISING FROM THE NEGLIGENCE OF RELEASEES OR OTHERWISE, to the fullest extent permitted by law. 5. On behalf of Swimmer, myself, my spouse and our heirs, personal representatives and next of kin, I HEREBY INDEMNIFY AND HOLD HARMLESS ALL THE ABOVE Releasees from any and all liabilities incident to Swimmer's involvement or participation in the ASA Programs, EVEN IF ARISING FROM THEIR NEGLIGENCE, to the fullest extent permitted by law. I HAVE READ THIS RELEASE OF LIABILITY AND ASSUMPTION OF RISK AGREEMENT, FULLY UNDERSTAND ITS TERMS AND HAVE HAD ALL MY QUESTIONS FULLY ANSWERED, FULLY UNDERSTAND THAT I HAVE THE CHOICE OF NOT PARTICIPATING IN THE ASA PROGRAMS, UNDERSTAND THAT I HAVE GIVEN UP SUBSTANTIAL RIGHTS BY SIGNING IT, AND SIGN IT FREELY AND VOLUNTARILY WITHOUT ANY INDUCEMENT.

ASA Concussion Statement

Parent/Athlete Concussion Information Sheet A concussion is a type of traumatic brain injury that changes the way the brain normally works. A concussion is caused by bump, blow, or jolt to the head or body that causes the head and brain to move rapidly back and forth. Even a “ding,” “getting your bell rung,” or what seems to be a mild bump or blow to the head can be serious.


Signs and symptoms of concussion can show up right after the injury or may not appear or be noticed until days or weeks after the injury. If an athlete reports one or more symptoms of concussion listed below after a bump, blow, or jolt to the head or body, s/he should be kept out of play the day of the injury and until a health care professional, experienced in evaluating for concussion, says s/he is symptom-free and it’s OK to return to play.

Did You Know?

  • Most concussions occur without loss of consciousness.
  • Athletes who have, at any point in their lives, had a concussion have an increased risk for another concussion.
  • Children and teens are more likely to get a concussion and take longer to recover than adults.


  • Appears dazed or stunned
  • Headache or “pressure” in head Is confused about assignment or position
  • Nausea or vomiting
  • Forgets an instruction Balance problems or dizziness Is unsure of game, score, or opponent
  • Double or blurry vision
  • Moves clumsily
  • Sensitivity to light Answers questions slowly
  • Sensitivity to noise
  • Loses consciousness (even briefly)
  • Feeling sluggish, hazy, foggy, or groggy
  • Shows mood, behavior, or personality changes
  • Concentration or memory problems
  • Can’t recall events prior to hit or fall
  • Confusion
  • Can’t recall events after hit or fall Just not “feeling right” or “feeling down”


In rare cases, a dangerous blood clot may form on the brain in a person with a concussion and crowd the brain against the skull. An athlete should receive immediate medical attention if after a bump, blow, or jolt to the head or body s/he exhibits any of the following danger signs:

  • One pupil larger than the other
  • Is drowsy or cannot be awakened
  • A headache that not only does not diminish, but gets worse
  • Weakness, numbness, or decreased coordination • Repeated vomiting or nausea
  • Slurred speech
  • Convulsions or seizures
  • Cannot recognize people or places
  • Becomes increasingly confused, restless, or agitated
  • Has unusual behavior
  • Loses consciousness (even a brief loss of consciousness should be taken seriously)


If an athlete has a concussion, his/her brain needs time to heal. While an athlete’s brain is still healing, s/he is much more likely to have another concussion. Repeat concussions can increase the time it takes to recover. In rare cases, repeat concussions in young athletes can result in brain swelling or permanent damage to their brain. They can even be fatal.


If you suspect that an athlete has a concussion, remove the athlete from play and seek medical attention. Do not try to judge the severity of the injury yourself. Keep the athlete out of play the day of the injury and until a health care professional, experienced in evaluating for concussion, says s/he is symptom-free and it’s OK to return to play. Rest is key to helping an athlete recover from a concussion. Exercising or activities that involve a lot of concentration, such as studying, working on the computer, or playing video games, may cause concussion symptoms to reappear or get worse. After a concussion, returning to sports and school is a gradual process that should be carefully managed and monitored by a health care professional. Remember Concussions affect people differently. While most athletes with a concussion recover quickly and fully, some will have symptoms that last for days, or even weeks. A more serious concussion can last for months or longer. It’s better to miss one game than the whole season.

For more information on concussions, visit:

Enter your initials to indicate acceptance: *
Non-Woodfield Swimmer $25

This $25 fee is for Non-Woodfield members. A Non-Member is someone who does not live in Woodfield or is not an outside member of the Woodfield HOA. This is a per family charge.

Volunteer Opt-Out $150

As the parents of a swimmer, we understand that the swim team requires our involvement in order for the meets to run smoothly. We commit to volunteer during the meets in which our child swims or donate $150 to the team for an exemption from volunteering.

Cancellation Policy

If you request a cancellation on June 1 or later, you will receive 50% of your registration fee (for ages 12 and under). ASA fees are NOT refundable.

Ages 13 and up are not eligible for a refund after June 1.

Liability Waiver

By registering my child(ren) with the Woodfield Swim Team, I agree to participate (or allow my child(ren) and family members to participate) in the Woodfield Swim Team, and hereby release Woodfield Swim Team, its directors, officers, agents, coaches, and employees from liability for any injury that might occur to myself (or to my child(ren) and family members) while participating in the Woodfield Swim Team program, including travel to and from training sessions, swim meets or other scheduled team activities.

I agree to indemnify and hold harmless the above mentioned organizations and/or individuals, their agents and/or employees, against any and all liability for personal injury, including injuries resulting in death to me, my child(ren) and/or other family members, or damage to my property, the property to my child(ren) and/or other family members, or both, while I (or my child(ren) or family members) participating in the Woodfield Swim Team program.

Medical Release

I certify that I am the parent or legal guardian for my child(ren). I hereby give my permission for any supervisor, coach or other team administrator associated with the Woodfield Swim Team to seek and give appropriate medical attention for our child(ren) in the event of accident, injury, illness. I will be responsible for any and all costs associated with any necessary medical attention and/or treatment.

I hereby waive, release and forever discharge Woodfield Swim Team and associated supervisor, coach or other team administrator from all rights and claims for damages, injury, loss to person or property which may be sustained or occur during participation in Woodfield Swim Team activities, whether or not damages or loss is due to negligence. I hereby acknowledge that my children is (are) physically fit and capable of participation in all Swim Team activities.


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