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2021 MPST Registration Form

Parent and swimmer(s) information should be completed

and

please update any outdated information.

Parent/Guardian Information

At least one parent/guardian registration is required.
New accounts will be sent an email confirmation message with instructions to setup a password.

Please indicate which parents will be volunteering this season. At least one parent/guardian is required to volunteer.

At least one parent/guardian email address must be provided.
Check the boxes to indicate which parent/guardians should receive team-wide emails.

First Name * Last Name * Email Address *
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Primary Phone Volunteer?

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Athlete Information

Enter the information for each athlete being registered below. At least one Athlete registration is required.

First Name * Preferred Name Middle Initial * Last Name * Gender * Birth Date *
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Home Address

Non-Gwinnett Residency

Does your Family reside in a county other than Gwinnett County?  (Example you live in DeKalb County)

Enter your initials to indicate acceptance:
Code of Conduct

Mountain Park Swim Team (MPST or Sharks) is a volunteer organization dedicated to developing youth in the sport of swimming. Members of MPST, including all coaches, officers, committee members, spectators, participants, and parents shall at all times conduct themselves in such a manner so as not to bring discredit to MPST or any of its members.

It must be realized by all adults associated with the MPST that its programs are designed as a recreational outlet solely for the enjoyment of youngsters. MPST’s emphasis is on participation rather than perfection. Derisive conduct by spectators, coaches, or swimmers, including but not limited to, outbursts that demean or belittle the swimmers or those officiating the meets, has no place in our program and will not be tolerated.

All who are associated with the MPST understand and hereby agree that such goals constitute the Code of Conduct of the MPST and understand that action in contravention to the Code of Conduct may at the sole discretion of MPST Officers, constitute grounds for suspension or expulsion of the individual(s) responsible for such actions.

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Diciplinary Action

The Head Coach and Council Person should be notified about any problems or concerns with swimmers, coaches and/or parents.  

1st offense: The swimmer will be given a verbal warning

2nd offense: The swimmer will be asked to get out of the pool and will be asked to sit out for 15 minutes and/or to do sit-ups or deep knee bends around the pool. (age appropriate)

3rd offense: Council person and parents will be contacted by the Head Coach.

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MPST Mission Statement

To provide a safe and respectful environment where children are taught the fundamentals of competitive swimming, are encouraged to discover that they control their level of effort toward a personal goal and that being on a team means commitment to others as well as themselves.

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Parent Consent

I/We, the parent/Guardian of the above named swimmer do hereby give my/our approval for his/her participation in any and all Mountain Park Sharks (MPST) activities during the current season. I/We assume all risks and hazards incidental to such participation, including, but not exclusive of, practice, parties, and swim meets, and do hereby waive, release, absolve, indemnify, and agree to hold harmless the MPST, the organizers, sponsors, committee members, coaches, and participants for any claim arising out of injury to my/our child. I/We agree to abide by all current committee and Gwinnett County League Rules.

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Volunteer Agreement

I/We agree to sign up and work, furnish a worker (Age 18 and older) or pay for 4 work slots (100 Points) during the swim meets. A separate check for $100 will be held for the season and returned once the volunteer obligation is fulfilled. This applies to ALL families.

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2021 Athlete/Parent Concussion Awareness Form

DANGERS OF CONCUSSION

Concussions at all levels of sports have received a great deal of attention and a state law has been passed to address this issue. Adolescent athletes are particularly vulnerable to the effects of concussion. Once considered little more than a minor “ding” to the head, it is now understood that a concussion has the potential to result in death, or changes in brain function (either short-term or long-term). A concussion is a brain injury that results in a temporary disruption of normal brain function. A concussion occurs when the brain is violently rocked back and forth or twisted inside the skull as a result of a blow to the head or body. Continued participation in any sport following a concussion can lead to worsening concussion symptoms, as well as increased risk for further injury to the brain, and even death.

Athlete and parental education in this area is crucial—that is the reason for this document. Refer to it regularly. This form must be signed by a parent or guardian of each swimmer who wishes to participate in GCSL activities. 

COMMON SIGNS AND SYMPTOMS OF CONCUSSION

● Headache, dizziness, poor balance, moves clumsily, reduced energy level/tiredness

● Nausea or vomiting

● Blurred vision, sensitivity to light and sounds

● Fogginess of memory, difficulty concentrating, slowed thought processes, confused about surroundings or assignments

● Unexplained changes in behavior and personality

● Loss of consciousness (NOTE: This does not occur in all concussion episodes.)

The following is a link to Heads Up, the online concussion awareness and safety recognition program offered by the Centers for Disease Control and Prevention. Please visit the site and explore the program.

http://www.cdc.gov/concussion/HeadsUp/online_training.html

I HAVE READ THIS INFORMATION AND I UNDERSTAND THE FACTS PRESENTED HERE. I HAVE REVIEWED THIS INFORMATION WITH MY CHILD. 

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Media Consent Form and Release

 I hereby grant Gwinnett County Swim League and their agents, representatives, contractors and/or members the absolute right and permission to use photographic portraits, pictures, digital images or videotapes of my child, or in which my child may be included in whole or part, or reproductions thereof in color or otherwise for any lawful purpose whatsoever, including but not limited to use in advertisement or promotional material such as Gwinnett County Swim League publications or the Gwinnett County Swim League website, without payment or any other consideration.

I hereby release, discharge and agree to indemnify and hold harmless Gwinnett County Swim League and their agents from all claims, demands, and causes of action that I or My Child have or may have by reason of this authorization or use of My Child’s photographic portraits, pictures, digital images or videotapes, including any liability by virtue of any blurring, distortion, alteration, optical illusion or use in composite form, whether, intention or otherwise that may occur or be produced in the taking of said images or videotapes, or in processing tending towards the completions on the finished product, including publication on the internet, or any other advertisements or materials.

I represent that I am at least eighteen (18) years of age and am fully competent to sign this Release.

This is a release of legal rights. Read it carefully and be certain you understand before signing.

Please check the box agreeing to the terms of this release 

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2021 League Waiver

LIABILITY RELEASE AND INDEMNIFICATION FORM

I, the undersigned participant and parent, request voluntary participation for my minor child(ren) to participate in all events, which are hereinafter referred to as the “activities” sponsored by Gwinnett County Swim League (GCSL) and its individual swim teams. This agreement is valid while the participant is a registered participant with Gwinnett County Swim League.

I consent to my/minor’s participation in all activities and acknowledge that the minor and I fully understand my/minor’s participation may involve risk of serious injury or death, including losses which may result not only from my/minor’s own actions, inactions or negligence, but also from the actions, inactions, or negligence of others, the condition of the facilities, equipment, or areas where the event or activity is being conducted, and/or the rules of play of this type of event or activity. I understand that if I have any risk concerns, I should discuss the risks associated with my participation with the activity coordinators and event staff, before I sign this document and before any activities begins.

Release – Minor’s Rights:

In consideration of allowing Minor Participant to participate in the activities, I hereby release and hold harmless Gwinnett County Swim League, its individual swim teams, and their members of its board of directors, officers, employees, volunteers, other participants, and agents (collectively, the “Released Parties”), of and from, and do discharge and waive, any and all claims, demands, losses, damages, and liabilities that Minor Participant may have or sustain with respect to any and all damage and/or injury, of any type, arising out of his or her participating in the activities. I also agree that if any portion of this agreement is held to be invalid the balance, notwithstanding, shall continue in full force and effect.

Release – Parents’/Guardians’ Rights:

In consideration of allowing Minor Participant to participate in this Gwinnett County Swim League season, I hereby release and hold harmless the Released Parties, of and from, and do discharge and waive, any and all claims, demands, losses, damages, and liabilities that I may have or sustain with respect to any and all damage and/or injury, of any type, arising from Minor Participant’s participation in the activities. I also agree that if any portion of this agreement is held to be invalid the balance, notwithstanding, shall continue in full force and effect.

I certify that my/minor is in good health and have no physical condition that would prevent participation in this activity. Furthermore, I agree to use my/minor’s personal medical insurance as a primary medical coverage payment if accident or injury occurs. I consent to emergency medical treatment in the event such care is required.

Indemnification by Parent/Guardian:

The undersigned parent/guardian further agrees to indemnify, save and hold harmless the Released Parties from any and all claims, demands, losses, damages and liabilities for indemnities, contribution or otherwise with respect to any damage and/or injury, of any type, arising from Minor Participant’s participation in the activities. The undersigned also agrees that this Release and Waiver of Liability, Assumption of Risk and Indemnity Agreement extends to all acts of negligence by the Releasee and is intended to be as broad and inclusive as is permitted by the laws of the State in which the Event(s) is/are conducted and that if any portion thereof is held invalid, it is agreed that the balance shall, notwithstanding, continue in full legal force and effect.

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2021 Covid Waiver

The novel coronavirus, COVID-19, has been declared a worldwide pandemic by the World Health Organization. COVID-19 is reported to be extremely contagious. The state of medical knowledge is evolving, but the virus is believed to spread from person-to-person contact and/or by contact with contaminated surfaces and objects, and even possibly in the air. People reportedly can be infected and show no symptoms and therefore spread the disease. The exact methods of spread and contraction are unknown, and there is no known treatment, cure, or vaccine for COVID-19. Evidence has shown that COVID-19 can cause serious and potentially life-threatening illness and even death.

Gwinnett County Swim League (GCSL), cannot prevent you (or your child(ren)) from becoming exposed to, contracting, or spreading COVID-19 while participating in Gwinnett County Swim League events. It is not possible to prevent against the presence of the disease. Therefore, if you choose to participate in a GCSL event, you may be exposing yourself to and/or increasing your risk of contracting or spreading COVID-19.

ASSUMPTION OF RISK: I have read and understood the above warning concerning COVID-19. I hereby choose to accept the risk of contracting COVID-19 for myself and/or my children in order to participate in a GCSL event. Participating in the event is of such value to me and/or to my children that I accept the risk of being exposed to, contracting, and/or spreading COVID-19 in order to participate.

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MPAC - Concussion in Youth Sports Information Sheet

What Is a Concussion?
A concussion is a type of traumatic brain injury- or TBl­ caused by a bump, blow, or jolt to the
head or by a hit to the body that causes the head and brain to move quickly back and forth. This
fast movement can cause the brain to bounce around or twist in the skull, creating chemical
changes in the brain and sometimes stretching and damaging the brain cells.

Below are the links to three concussion forms.  Please review each concussion form and discuss with your swimmer.

I agree to discuss the risks of concussion and other serious brain injuries with my child or teen, and electronically sign below attesting to the following:

I have read this fact sheet for parents on concussion with my child or teen, and talked about what to do if they have a concussion or other serious brain injury.

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