here - Hutt Swimming Club

HUTT SWIMMING CLUB INC
REGISTRATION FORM
1 January 2015 - 31 December 2015
"Please Print Legibly"
Family Name:
Please Fill out all boxes at the Top with Important Name and Date of Birth Information - Please Ask if unsure
Address:
Phone No:
E-Mail address:
E-mail for Important non water-logged Club Newsletter, dates, events & information
Is your child in school year 9 or above in 2015? Please tick
This means that they will swim between 8-9pm Tuesday
More than four swimming use a second sheet for final total
Swimmers Name: (including middle initial)
?
↓
Date of Birth
M/F
Deduct Coaches or Committee Member Incentive Discount (highest paying Child Free)
Deduct Family Discount (Two or more children ~ $20.00 discount per child)
Level
(½ or 1Hr)
Total
Amount
Deduct
Deduct
Total to Pay
From time to time pictures of club swimmers and activities may be used for publication (web page,
newsletters, etc.) Please tick the box if you DO NOT wish your child/children to appear in these Pub.
Fees
Training Fee Total
LTS & 1/2 Hr Sessions
Occur in either the LTS or Main
Pools
$180.00
One 1 Hr session per week
Two 1 Hr sessions per week
$220.00
$280.00
Adult Swimmers Group
(No coaching) 1 Hr Session/week
8:00 - 9:00 pm Tuesday nights/Sat. Morn.
$120.00
The Club is an Incorporated Society administerd by elected volunteer positions at
an Annual General Meeting and appointed volunteer coaching positions.
These Members cannot be held liable for any Health & Safety consequences that
may result in the operations of the Club.
We are bound by the HCC Pool hire conditions of entry and operate under
these. Members are encouraged to familiarise themselves with the same.
The Club is affiliated with Swimming New Zealand (NZ) Inc. through the
Swimming Wellington (SW) Regional Association and the members affiliation
fees are paid out of your registration fees to these organisations. You are also
bound by the Rules, Regulations and Code of Conduct set down by
Swimming NZ and this SW Regional Organisation.
PLEASE Read our own Hutt Swimming Club Code of Conduct on the
Club Notice Board & the over-riding Code of Conduct with Swimming New
Zealand at www.swimmingnz.org.nz
Subject to Numbers
2015 Fees and completed Registration Forms are due by January 14, 2015.
Returning swimmers with fees due unpaid by this date will have their lane positions given to swimmers
on the waitlist.
Payment of fees by this date can be made by posting this completed form once payment has been made to;
"The Treasurer" at Hutt Swimming Club Inc., P.O. Box 30-550, Lower Hutt, 5040.
Electronic Bank direct payments can be made to the Club's Bank Account; Hutt Swimming Club Inc.at the;
ANZ Bank of New Zealand: 06 0529 0306528 00 so as to arrive in the account by January 14, 2015.
Please include family & childrens' names in electronic payment as per the details included on this registration form.
There will be no refund of fees should you resign from the Hutt Swimming Club Inc.
I/We accept the terms and conditions of Registration for the Hutt Swimming Club Inc. and agree to the
Club's Code of Conduct as displayed on the Club notice board.
Signed by Parent / Care giver:
Date:
Please print Name:
This information is confidential to Hutt Swimming Club Inc. and their controlling organisations.

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