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2025 - 2026 Dolphin Club Registration & Athlete & Parent Agreement
There is also a separate USA registration fee to pay which requires each family to register their swimmer(s) through United States Swimming. The premium fee for this is $88.00, and all members are suggested to sign up for the "premium" fee (not "flex" or "seasonal") to avoid complications with USA registrations as the season progresses.
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Step
1
of 5
any error Address
Swimmer Information
Name
*
First
Middle
Last
Preferred Name
Date of Birth
*
Email
*
used in the USA Swimming Registration
Phone
*
Address
*
Address Line 1
Address Line 2
City
--- Select state ---
Alabama
Alaska
Arizona
Arkansas
California
Colorado
Connecticut
Delaware
District of Columbia
Florida
Georgia
Hawaii
Idaho
Illinois
Indiana
Iowa
Kansas
Kentucky
Louisiana
Maine
Maryland
Massachusetts
Michigan
Minnesota
Mississippi
Missouri
Montana
Nebraska
Nevada
New Hampshire
New Jersey
New Mexico
New York
North Carolina
North Dakota
Ohio
Oklahoma
Oregon
Pennsylvania
Rhode Island
South Carolina
South Dakota
Tennessee
Texas
Utah
Vermont
Virginia
Washington
West Virginia
Wisconsin
Wyoming
State
Zip Code
Next
Swim Team & Session Registration
Membership Status
*
Member
Nonmember
Swim Level
*
Level 1
Level 2
Level 3
Level 4
One Time Registration Fee
New Swimmer -
$85.00
Only check this if you are registering for the first time this 2025-26 Season
Cost
Price:
$0.00
T-Shirt Size
*
Child Small
Child Medium
Child Large
Adult Small
Adult Medium
Adult Large
Adult XL
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Medical Information & Emergency Contact Information
Is there any medical information the coaching staff needs to know? If yes, please explain:
Is your child on any medications or inhalers? If yes, please list:
Insuarnce
Insurance Carrier
*
Phone
*
Emergency Contact
Emergency Contact Name
*
First
Last
Emergency Contact Phone
*
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Parent Agreement
*
As a member of the Dolphin Club, I promise to promote the sport of swimming, encourage teamwork and individual achievement while fostering sportsmanship and positive social interaction. I have read, understand, and agree with the Dolphin Club's Electronic Communication and Bullying Policies, which can be found at
www.teamunify.com/vadcst
under the safe sport tab.
I understand that I may not interrupt practice by giving instruction to my child or approaching coaches with questions, comments, and concerns. If this becomes a problem I will not be allowed on deck during practice. If I have any questions or concerns I will email the head coach directly.
I will encourage my swimmer to approach his/her coach with questions or concerns that may arise throughout the swim season.
I understand that I must have a credit card on file for my swimmer's meet fees and monthly payments, If the credit card info changes, I will inform the Weinstein JCC Registrar immediately.
I understand that as soon as practice is over I am responsible for my child and they are no longer under the supervision of the Weinstein JCC coaches/staff.
One member of each family must complete SafeSport training as well as all 12 and older swimmers before 12/31/25.
I understand that if my swimmer is registered to participate in a swim meet, I am required to volunteer at that swim meet.
All cancellations will be effective on the last day of each month. Payments for that month will still be withdrawn on the 15th. I understand that I must give 30 days written notice to Dolphin Club and Weinstein JCC.
No refunds will be issued for closures due to weather or acts of God.
I agree to allow Weinstein. JCC Marketing to use Dolphin Club photos which may include my child(ren) to promote the Dolphin Club. If I do not agree, I recognize that I must complete the Minor Photo Release Rejection Form and return it to - Coach Bridget.
You must agree to all of the Parent Agreement items to continue.
Participation in JCC activities and use of recreational workout facilities involves a risk of accidental injury despite all safey precautions. I will assume all risks (of injury or illness) to my child or myself that may occur during participation in any activities or use of facilities at the Weinstein JCC. By signing this form, I acknowledge that I am aware of the potential risks of participatin in activities and/or programs at the Weinstein JCC and agree to in no way hold the management, agents, or employees of the Weinstein JCC liable for any injurty that I or members of my family may sustain. By signing, I have read and understand the above statement.
Parent/Guardian Signature
*
Clear Signature
Date
*
Athlete Agreement
*
As part of the Dolphin Club, I promise to keep a positive attitude and show respect and good sportsmanship to my teamates, competitors, and coaches.
I have read, understand, and agree with the Dolphin Club's Electronic Communication and Bullying Policies, which can be found at
www.teamunify.com/vadcst
under the safe sport tab.
You must agree to both athlete agreement statements to continue.
Signature
Clear Signature
Date
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Total
$0.00
Billing Address
*
Address Line 1
Address Line 2
City
--- Select state ---
Alabama
Alaska
Arizona
Arkansas
California
Colorado
Connecticut
Delaware
District of Columbia
Florida
Georgia
Hawaii
Idaho
Illinois
Indiana
Iowa
Kansas
Kentucky
Louisiana
Maine
Maryland
Massachusetts
Michigan
Minnesota
Mississippi
Missouri
Montana
Nebraska
Nevada
New Hampshire
New Jersey
New Mexico
New York
North Carolina
North Dakota
Ohio
Oklahoma
Oregon
Pennsylvania
Rhode Island
South Carolina
South Dakota
Tennessee
Texas
Utah
Vermont
Virginia
Washington
West Virginia
Wisconsin
Wyoming
State
Zip Code
Credit Card
*
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