Naval Academy Aquatic Club

NAVAL ACADEMY AQUATIC CLUB SWIMMING TRY-OUT APPLICATION For the 2010 – 2011 Season Swimmer’s Name______Last Middle First

Address______

______City State Zip

Phone ______Parents Names: ______

Email Address: ______

Swimmers' date of birth ______Age______

Category: ______(Military AD/Military Ret/Military Reserve/DoD Employee/Civilian)

Swimming Experience: Club or Team: ______When: ______# Years: ______

If your swimmer has times that you would like to submit, please do so on a separate piece of paper.

I AGREE TO HOLD HARMLESS AND INDEMIFY THE NAVAL ACADEMY AQUATIC CLUB, THE UNITED STATES NAVAL ACADEMY, THE NAVAL ACADEMY ATHLETIC ASSOCIATION, MARYLAND SWIMMNG, INC., USA SWIMMING, AND ALL OF THEIR OFFICERS, AGENTS, EMPLOYEES, AND REPRESENTATIVES AGAINST ALL COSTS RELATING TO ANY SUITS, LEGAL ACTIONS AND CLAMS, INCLUDING THOSE ARISING FROM BODILY INJUIRES, WHICH MAY RESULT FROM PARTICIPATION IN THIS TRYOUT.

______PARENT/GUARDIAN SIGNATURE DATE

Please include with this application a check for $20 made out to NAAC.