2008-2009 RAYS FINANCIAL AGREEMENT AND PROCEDURES

Please check the payment plan you will use:
Pay In Full     8-Month Plan

Swimmer's Name:   Last First:   Middle:            Date of Birth:
Address:      Phone:    Emergency Contact:   Phone:
E-mail Address:      Parents Name:    Home Phone:    Work Phone:  
 Cell: 
Doctor:      Doctor's Phone:      Medical Condition:   Medications:    Allergies:

 T-Shirt size:              Pool:      Practice Group:
Additional Family Payment Opt Out
Registration Fee is $110 per swimmer (Includes USA Registration, t-shirt, cap)

Additional Family Payment (AFP) requirements:  You will be invoiced the full amount of your AFP at the beginning of the year.  The schedule for meeting this financial obligation is:  a minimum of $200 or 50% of your AFP due by January 31, 2009 and the remaining amount due by June 1, 2009.  Each family will be provided a status of their account as the year progresses.  If you obtain credit in excess of the required AFP, fifty percent (50%) of this excess credit will be added to your family's account and fifty percent (50%) will be added to the RAYS general account.  Excess credit to a family's account may not result in a refund of monies previously paid and a family may not delay a payment due in anticipation of future AFP credit.  When a family leaves the team, excess funds in the family's account gained via AFP will revert to the RAYS.

I understand and accept that risk of injury is possible while participating in athletic activities.  I authorize the RAYS Swim Team to act according to their best judgment in any emergency requiring medical attention.  I agree to indemnify and hold harmless anyone associated with RAYS for all medical or dental expenses incurred as a result of participation in swimming activities or programs.  I hereby acknowledge that RAPYS Swim Team, its staff, officials or representatives, cannot be held responsible for any injury to my son/daughter.  Before beginning an activity, it is recommended that athletes receive a sport physical given by their doctor.

Your typed name acts as your signature, and is an acknowledgement of your understanding of this entire document and of your commitment to adhere to the provisions established herein.

Signature: 


How did you hear about the RAYS?  Newspaper Ad   Web Search  RSL Finals  Clinic   Other
If you were referred by a RAYS' family, please provide their name:
I have a membership to the following stores:  Costco     BJ's  Sam's Club    None

The RAYS Team has several committees that need your help.  Please choose at least one committee you would like to help with this coming year.  Concessions  Fundraising  Social  Recruitment  Marketing  Officiating  Hospitality  Phone Tree

Please send payment to RAYS, PO Box 866, Stafford, VA  22555-0866