This registration form is for swimmers who are RETURNING to the Bridge Bat team for the 2017-2018 USA Swim Season

A processing fee of $100 will be charged upon registering
$88 annual fee for USA Swimming     $12 BATS Administration fee

Visit our Parents page for USA meet schedule, links to time standards etc

Swimmer Birthdate *
Swimmer Birthdate
Father/Guardian1 Name
Father/Guardian1 Name
Mother/Guardian2 Name
Mother/Guardian2 Name
Address *
Primary Phone *
Primary Phone
cell phone
cell phone
Race & Ethnicity *
you may enter up to two choices
Is child on Medicaid *
USA swimming offers discounts for swimmers on Medicaid
CHECKING THIS BOX PROVIDES RELEASE OF LIABILITY -- In consideration of being allowed to participate in any way in the Central Swim Houston club (AKA Bridge Bats), its related events and activities, I acknowledge, appreciate, and agree that: 1. The risk of injury from the activities involved in this program is significant, including the potential for permanent paralysis and death, and while particular skills, equipment, and personal discipline may reduce this risk, the risk of serious injury does exist; and, 2. I KNOWINGLY AND FREELY ASSUME ALL SUCH RISKS, both known and unknown, EVEN IF ARISING FROM THE NEGLIGENCE OF THE RELEASEES or others, and assume full responsibility for my participation; and, 3. I willingly agree to comply with the stated and customary terms and conditions for participation. If, however, I observe any unusual significant hazard during my presence or participation, I will remove myself from participation and bring such to the attention of the Central Swim Leadership immediately; and, 4. I, for myself and on behalf of my heirs, assigns, personal representatives and next of kin, HEREBY RELEASE, INDEMNIFY, AND HOLD HARMLESS THE Central Swim Houston club_, their officers, officials, agents and/or employees, other participants, sponsoring agencies, sponsors, advertisers, and, if applicable, owners and lessors of premises used for the activity ("Releasees"), WITH RESPECT TO ANY AND ALL INJURY, DISABILITY, DEATH, or loss or damage to person or property, WHETHER ARISING FROM THE NEGLIGENCE OF THE RELEASEES OR OTHERWISE, to the fullest extent permitted by law. I HAVE READ THIS RELEASE OF LIABILITY AND ASSUMPTION OF RISK AGREEMENT , FULLY UNDERSTAND ITS TERMS, UNDERSTAND THAT I HAVE GIVEN UP SUBSTANTIAL RIGHTS BY AGREEING TO IT (BY CHECKING THE BOX) AND AGREE TO IT FREELY AND VOLUNTARILY WITHOUT ANY INDUCEMENT. **FOR PARENTS/GUARDIANS OF PARTICIPANTS OF MINORITY AGE (UNDER AGE 18 AT TIME OF REGISTRATION) This is to certify that I, as parent/guardian with legal responsibility for this participant, do consent and agree to his/her release as provided above of all the Releasees, and, for myself, my heirs, assigns, and next of kin, I release and agree to indemnify and hold harmless the Releasees from any and all liabilities incident to my minor child's involvement or participation in these programs as provided above, EVEN IF ARISING FROM THE NEGLIGENCE OF THE RELEASEES, to the fullest extent permitted by law. *