Home
Staff
Schedule
Programs
Gallery
Registration
LTS
Facebook
Thank you for registering.
1
1
http://swimharper.club/wp-content/plugins/nex-forms
false
message
http://swimharper.club/wp-admin/admin-ajax.php
http://swimharper.club/registration
yes
1
fadeIn
fadeOut
Parent or Legal Guardian
Winter Session
February 13 - April 6
*Name
*Email
*Phone Number
*Street
*City
*State
*Zip Code
Back
Next
Contact Karolina Papiez at (269) 986-1760 if you have questions about payments.
Swimmer(s)
Number of Swimmers
1
*Name
*Date of Birth
*Gender
--- Select ---
Female
Male
*Age
1_Program
New Bronze
Bronze
Silver
Gold
*Name
*Date of Birth
*Gender
--- Select ---
Female
Male
*Age
2_Program
New Bronze
Bronze
Silver
Gold
*Name
*Date of Birth
*Gender
--- Select ---
Female
Male
*Age
3_Program
New Bronze
Bronze
Silver
Gold
*Name
*Date of Birth
*Gender
--- Select ---
Female
Male
*Age
4_Program
New Bronze
Bronze
Silver
Gold
*Name
*Date of Birth
*Gender
--- Select ---
Female
Male
*Age
5_Program
New Bronze
Bronze
Silver
Gold
*Name
*Date of Birth
*Gender
--- Select ---
Female
Male
*Age
6_Program
New Bronze
Bronze
Silver
Gold
Back
Next
Membership Agreement
I, for myself, my heirs, personal representatives or assigns, do herby waive, release, and discharge club coaches and assistants of Harper Creek swim club, its directors, officers, employees, and agents from liability for any and all claims and damages, including those caused by the negligence of HCSC, resulting in personal injury, accidents or illnesses, and property loss arising from, but not limited to, participation in activities, swim team, classes, observation, and use of facilities, premises or equipment. I agree that this Waiver and Release is also signed by me on behalf of all minor children of which I am the parent or guardian, and on behalf of my guests or anyone gaining entrance to the pool through the use of my membership.
I Agree
Registration Total: $
0
Payment Type
Cash App ($ChadMWager)
Apple Pay (269-339-6114)
Check
Cash (PREFERRED)
Back
REGISTER
