LITCHFIELD AREA SWIM TEAM
P.O. Box 877
Litchfield, CT 06759
THIS PROGRAM IS NOT SPONSORED BY LITCHFIELD PARKS & RECREATION
IT IS POSTED ON THE PARKS & RECREATION WEB SITE AS A COURTESY
L.A.S.T - 2009/2010 FEE SCHEDULE
October 19th to February Championships
Fee Schedule
Regular = 4 nights a week, 1.5 - 2 hours per night
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$920.00
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Beginner = 4 nights a week, one hour a night
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$644.00
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High School = Swim when CIAC rules allow
(7 weeks prior then about 5 weeks after)
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$500.00
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Fees include the USA registration fees, all meet/splash fees.
*Payment schedule:
By October 19
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one-third of fee
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By November 19
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one-third of fee
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By December 19
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balance of fee
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Practice Schedule
Beginners - Mon. Tues. Thurs. & Friday
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6:45 p.m. - 7:45 p.m.
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Regular - Mon. Tues. Thurs. & Friday
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6:45 p.m. - 8:15 p.m.
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High School - Mon. Tues. Thurs. & Friday
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6:45 p.m. - 8:15 p.m.
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LITCHFIELD AREA SWIM TEAM
Lead by Head Coach Patrick Marchand
Connecticut Junior Republic
Route 63, Goshen Road, Litchfield
Litchfield Area Swim Team is a new USA swim team lead by Head Coach Patrick Marchand. It is a 25 week program beginning Monday, October 19, 2009. All swim practices will be held at the Connecticut Junior Republic pool. Swimmers ages 7-18 are eligible to join the team. For more information, please contact Patrick Marchand at 860-480-2017 or Bobby D'Andrea at 860-482-4979 during the day or 860-567-0380 evenings.
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Application
Swimmer's Name ___________________________________________________________
Parent(s) Name(s) ___________ __________________________________________
Swimmer's Age _______________________ Grade Level ______________________
Telephone number(s) _________________________________________________________
Email Address ___________________________________________________________
Experience ____________________ _________________________________________
School ______________________________________________________________
HOLD HARMLESS
I understand that injuries are a possibility as a result of participation in this activity. I agree not to hold the Litchfield Area Swim Team or its coaches, its officers, agents and employees and anyone else associated with this program from any loss, costs, expenses, injuries or property damage and liability whatsoever, kind or nature which may arise from my participation or my child's participation in this program. I also understand and agree that my own medical and/or disability insurance will be used in the event of an injury and that if I have no such insurance, that I will be directly responsible for any medical costs whatsoever.
SIGNED:____________________________________________________ DATE: _________________________________
(Participant or parent/guardian if child under 18 years of age)
APPLICATION FORM SHOULD BE MAILED TO BOX 877, LITCHFIELD, CT 06759
(NOT TO LITCHFIELD PARKS & RECREATION!)
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