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YOU ARE NOW REGISTER FOR FULL 600$ (Click on other options above if you want to change)

*These fees include MSO (Masters Swimming Ontario) registration and insurance.

First Name *

Last Name *

Your Email *

Address *

Postal Code

Phone Number *

Work

Date of Birth *

Gender*:

MaleFemaleOthers

Health Card Number*

Emergency Contact Name*

Emergency Contact Phone Number*

Payment Method *

If you are willing to be contacted by the London Silver Dolphins Executive regarding club activities, please check this box

YesNo

WAIVER (RELEASE AND INDEMNITY AGREEMENT)

READ VERY CAREFULLY BEFORE SIGNING*

I, the undersigned participant intending to be legally bound, hereby certify that I am physically fit and have not been otherwise informed by a physician. I acknowledge that I am aware of all the risks inherent in Masters Swimming (training and competition) including possible permanent disability or death, and agree to assume all of those risks. I hereby waive any and all rights to claim for loss or damage arising out of my participation in the Masters Swimming program or any activities incidental thereto against the London Silver Dolphins, the Corporation of the City of London, Swim Ontario, Masters Swimming Ontario, host facilities, meet sponsors, meet committees or any individual officiating at the meets or supervising or coaching such activity as a condition of my participation in Masters Swimming.

In consideration of the London Silver Dolphins accepting this application, I hereby release and agree to hold harmless and indemnify the directors, officers, coaches and members of the London Silver Dolphins from all claims, actions or damages without any limitations whatsoever, whether consisting of personal injury or property damage that may result in any way while attending practices or meets whether such injuries are caused by their negligence or not, assuming myself any and all responsibility and liability for same. I acknowledge and agree that this waiver (Release and Indemnity Agreement) is binding on myself and upon my heirs, administrators, executors and assigns and I herewith again reaffirm my free and willing intent to exercise it.

Check this box to digitally sign the waiver *

I have read and understood all the above.

NOTE: If paying by cheque: Payment to London Silver Dolphins

Mail or deliver to: D. Spencer

64 Bloomfield Drive,

London, ON

N6G 1P3

YOU ARE NOW REGISTER FOR WEEKDAY $450 (Click on other options above if you want to change)

*These fees include MSO (Masters Swimming Ontario) registration and insurance.

First Name *

Last Name *

Your Email *

Address *

Postal Code

Phone Number *

Work

Date of Birth *

Gender*:

MaleFemaleOthers

Health Card Number*

Emergency Contact Name*

Emergency Contact Phone Number*

Payment Method *

If you are willing to be contacted by the London Silver Dolphins Executive regarding club activities, please check this box

YesNo

WAIVER (RELEASE AND INDEMNITY AGREEMENT)

READ VERY CAREFULLY BEFORE SIGNING*

I, the undersigned participant intending to be legally bound, hereby certify that I am physically fit and have not been otherwise informed by a physician. I acknowledge that I am aware of all the risks inherent in Masters Swimming (training and competition) including possible permanent disability or death, and agree to assume all of those risks. I hereby waive any and all rights to claim for loss or damage arising out of my participation in the Masters Swimming program or any activities incidental thereto against the London Silver Dolphins, the Corporation of the City of London, Swim Ontario, Masters Swimming Ontario, host facilities, meet sponsors, meet committees or any individual officiating at the meets or supervising or coaching such activity as a condition of my participation in Masters Swimming.

In consideration of the London Silver Dolphins accepting this application, I hereby release and agree to hold harmless and indemnify the directors, officers, coaches and members of the London Silver Dolphins from all claims, actions or damages without any limitations whatsoever, whether consisting of personal injury or property damage that may result in any way while attending practices or meets whether such injuries are caused by their negligence or not, assuming myself any and all responsibility and liability for same. I acknowledge and agree that this waiver (Release and Indemnity Agreement) is binding on myself and upon my heirs, administrators, executors and assigns and I herewith again reaffirm my free and willing intent to exercise it.

Check this box to digitally sign the waiver *

I have read and understood all the above.

NOTE: If paying by cheque: Payment to London Silver Dolphins

Mail or deliver to: D. Spencer

64 Bloomfield Drive,

London, ON

N6G 1P3

YOU ARE NOW REGISTER FOR WEEKEND $300 (Click on other options above if you want to change)

*These fees include MSO (Masters Swimming Ontario) registration and insurance.

First Name *

Last Name *

Your Email *

Address *

Postal Code

Phone Number *

Work

Date of Birth *

Gender*:

MaleFemaleOthers

Health Card Number*

Emergency Contact Name*

Emergency Contact Phone Number*

Payment Method *

If you are willing to be contacted by the London Silver Dolphins Executive regarding club activities, please check this box

YesNo

WAIVER (RELEASE AND INDEMNITY AGREEMENT)

READ VERY CAREFULLY BEFORE SIGNING*

I, the undersigned participant intending to be legally bound, hereby certify that I am physically fit and have not been otherwise informed by a physician. I acknowledge that I am aware of all the risks inherent in Masters Swimming (training and competition) including possible permanent disability or death, and agree to assume all of those risks. I hereby waive any and all rights to claim for loss or damage arising out of my participation in the Masters Swimming program or any activities incidental thereto against the London Silver Dolphins, the Corporation of the City of London, Swim Ontario, Masters Swimming Ontario, host facilities, meet sponsors, meet committees or any individual officiating at the meets or supervising or coaching such activity as a condition of my participation in Masters Swimming.

In consideration of the London Silver Dolphins accepting this application, I hereby release and agree to hold harmless and indemnify the directors, officers, coaches and members of the London Silver Dolphins from all claims, actions or damages without any limitations whatsoever, whether consisting of personal injury or property damage that may result in any way while attending practices or meets whether such injuries are caused by their negligence or not, assuming myself any and all responsibility and liability for same. I acknowledge and agree that this waiver (Release and Indemnity Agreement) is binding on myself and upon my heirs, administrators, executors and assigns and I herewith again reaffirm my free and willing intent to exercise it.

Check this box to digitally sign the waiver *

I have read and understood all the above.

NOTE: If paying by cheque: Payment to London Silver Dolphins

Mail or deliver to: D. Spencer

64 Bloomfield Drive,

London, ON

N6G 1P3

YOU ARE NOW REGISTER FOR MSO ONLY $30 (Click on other options above if you want to change)

*These fees include MSO (Masters Swimming Ontario) registration and insurance.

First Name *

Last Name *

Your Email *

Address *

Postal Code

Phone Number *

Work

Date of Birth *

Gender*:

MaleFemaleOthers

Health Card Number*

Emergency Contact Name*

Emergency Contact Phone Number*

Payment Method *

If you are willing to be contacted by the London Silver Dolphins Executive regarding club activities, please check this box

YesNo

WAIVER (RELEASE AND INDEMNITY AGREEMENT)

READ VERY CAREFULLY BEFORE SIGNING*

I, the undersigned participant intending to be legally bound, hereby certify that I am physically fit and have not been otherwise informed by a physician. I acknowledge that I am aware of all the risks inherent in Masters Swimming (training and competition) including possible permanent disability or death, and agree to assume all of those risks. I hereby waive any and all rights to claim for loss or damage arising out of my participation in the Masters Swimming program or any activities incidental thereto against the London Silver Dolphins, the Corporation of the City of London, Swim Ontario, Masters Swimming Ontario, host facilities, meet sponsors, meet committees or any individual officiating at the meets or supervising or coaching such activity as a condition of my participation in Masters Swimming.

In consideration of the London Silver Dolphins accepting this application, I hereby release and agree to hold harmless and indemnify the directors, officers, coaches and members of the London Silver Dolphins from all claims, actions or damages without any limitations whatsoever, whether consisting of personal injury or property damage that may result in any way while attending practices or meets whether such injuries are caused by their negligence or not, assuming myself any and all responsibility and liability for same. I acknowledge and agree that this waiver (Release and Indemnity Agreement) is binding on myself and upon my heirs, administrators, executors and assigns and I herewith again reaffirm my free and willing intent to exercise it.

Check this box to digitally sign the waiver *

I have read and understood all the above.

NOTE: If paying by cheque: Payment to London Silver Dolphins

Mail or deliver to: D. Spencer

64 Bloomfield Drive,

London, ON

N6G 1P3

YOU ARE NOW REGISTER FOR OUTDOOR SESSION $60 (Click on other options above if you want to change)

*These fees include MSO (Masters Swimming Ontario) registration and insurance.

First Name *

Last Name *

Your Email *

Address *

Postal Code

Phone Number *

Work

Date of Birth *

Gender*:

MaleFemaleOthers

Health Card Number*

Emergency Contact Name*

Emergency Contact Phone Number*

Payment Method *

If you are willing to be contacted by the London Silver Dolphins Executive regarding club activities, please check this box

YesNo

WAIVER (RELEASE AND INDEMNITY AGREEMENT)

READ VERY CAREFULLY BEFORE SIGNING*

I, the undersigned participant intending to be legally bound, hereby certify that I am physically fit and have not been otherwise informed by a physician. I acknowledge that I am aware of all the risks inherent in Masters Swimming (training and competition) including possible permanent disability or death, and agree to assume all of those risks. I hereby waive any and all rights to claim for loss or damage arising out of my participation in the Masters Swimming program or any activities incidental thereto against the London Silver Dolphins, the Corporation of the City of London, Swim Ontario, Masters Swimming Ontario, host facilities, meet sponsors, meet committees or any individual officiating at the meets or supervising or coaching such activity as a condition of my participation in Masters Swimming.

In consideration of the London Silver Dolphins accepting this application, I hereby release and agree to hold harmless and indemnify the directors, officers, coaches and members of the London Silver Dolphins from all claims, actions or damages without any limitations whatsoever, whether consisting of personal injury or property damage that may result in any way while attending practices or meets whether such injuries are caused by their negligence or not, assuming myself any and all responsibility and liability for same. I acknowledge and agree that this waiver (Release and Indemnity Agreement) is binding on myself and upon my heirs, administrators, executors and assigns and I herewith again reaffirm my free and willing intent to exercise it.

Check this box to digitally sign the waiver *

I have read and understood all the above.

NOTE: If paying by cheque: Payment to London Silver Dolphins

Mail or deliver to: D. Spencer
Spencermolarmitch@rogers.com

64 Bloomfield Drive,

London, ON

N6G 1P3


Day	Time	Practice Time
Monday	8:45 pm to 9:45 pm	1.0 hour
Tuesday	8:45 pm to 9:45 pm	1.0 hour
Thursday	8:45 pm to 9:45 pm	1.0 hour
Saturday	1:00 pm to 2:00 pm	1.0 hour
Sunday	8:30 am to 9:30 am	1.0 hour


Day	Time	Practice Time
Sunday	8:30 am to 9:30 am	1.0 hour
Tuesday	8:45 pm to 9:45 pm	1.0 hour
Thursday	8:45 pm to 9:45 pm	1.0 hour


Day	Time	Practice Time
Monday	6:00 PM	1.0 hour
Thursday	6:00 PM	1.0 hour

Registration

Please select the payment method

Practice Schedule

Regular Season

Outdoor session (Thames Pool)

Another Section

Contact Us

Registration

Please select the payment method

WAIVER (RELEASE AND INDEMNITY AGREEMENT)

WHEN DO YOU WANT TO SWIM? *

YOU ARE NOW REGISTER FOR FULL 600$ (Click on other options above if you want to change)

WAIVER (RELEASE AND INDEMNITY AGREEMENT)

NOTE: If paying by cheque: Payment to London Silver Dolphins

YOU ARE NOW REGISTER FOR WEEKDAY $450 (Click on other options above if you want to change)

WAIVER (RELEASE AND INDEMNITY AGREEMENT)

NOTE: If paying by cheque: Payment to London Silver Dolphins

YOU ARE NOW REGISTER FOR WEEKEND $300 (Click on other options above if you want to change)

WAIVER (RELEASE AND INDEMNITY AGREEMENT)

NOTE: If paying by cheque: Payment to London Silver Dolphins

YOU ARE NOW REGISTER FOR MSO ONLY $30 (Click on other options above if you want to change)

WAIVER (RELEASE AND INDEMNITY AGREEMENT)

NOTE: If paying by cheque: Payment to London Silver Dolphins

YOU ARE NOW REGISTER FOR OUTDOOR SESSION $60 (Click on other options above if you want to change)

WAIVER (RELEASE AND INDEMNITY AGREEMENT)

NOTE: If paying by cheque: Payment to London Silver Dolphins

Practice Schedule

Regular Season

Outdoor session (Thames Pool)

Another Section

Contact Us