Dive Team Registration Form BSTC Member #Parent #1 Name:*Please enter name of parent who will be primarily responsible for dive team participation and needs to know about practice times, meets, activities, etc.Parent #1 Phone:*Parent #1 Email* Parent #2 Name:*Please enter name of parent or other responsible adult who may be contacted in case of emergency or other circumstances.Parent #2 Phone:*Parent #2 Email:* Diver # 1 - 1) Name, 2) Date of Birth, 3) Age, 4) Gender, 5) Grade Completed, 6) Allergies/Health Information if necessary*Diver # 2 - 1) Name, 2) Date of Birth, 3) Age, 4) Gender, 5) Grade Completed, 6) Allergies/Health Information if necessaryDiver # 3 - 1) Name, 2) Date of Birth, 3) Age, 4) Gender, 5) Grade Completed, 6) Allergies/Health Information if necessaryParental Consent:* I consent to the agreement below:I, the parent of the above named diver(s) for Brentwood Swim and Tennis Club's Dive Team, hereby give my approval to his/her participation in any or all of the activities required to participate on the dive team during 2019. I assume all risks and hazards incidental to such participation, including transportation to and from all activities. I waive, release, absolve, indemnify and agree to hold harmless Brentwood Swim and Tennis Club, Inc. and its coaches, organizers, supervisors, employees, board members and persons transporting my children to and from activities, from any claim arising out of an injury to my children. I authorize the coach, pool manager or lifeguards to arrange for emergency medical attention should I not be present. I understand that I will be responsible for all cost associated with any emergency treatment. Consent* I understand that I will be billed $100 per diver for participation on the dive team.