How I heard about the Orcas -- please check all that
apply
This child is a returning Orca Synchro
swimmer
I am a returning Orca Synchro swimmer
I attended Orca Synchro's Bring a Friend
session
From a friend or acquaintance
Through Scona Pool
Through my child's school
From the ad in the City of Edmonton's E
Active guide
From the roadside sign on 114 Street at
72 Avenue
From the roadside sign on Gateway
Boulevard at 75 Avenue
I searched the internet
From the phone book
Other
Register this swimmer for:
2009-2010 Season
Register this swimmer in:
SynchroKids -- once a
week on Tuesdays
SynchroStars -- twice a week on Tuesdays
and Thursdays
Seasoned Synchro -- once a week on Tuesdays
SynchroMoms -- once a week on Thursdays
AquaSquirts -- once a week on Mondays
Cross-training Mondays -- once a week on Mondays
2009 Summer Camp #1 Intro to Synchro -- September
8 &10
This swimmer started with the Orcas in the year
2. Personal information consent form
I understand that the Orca Synchronized Swimming Club collects personal
information about each of its registrants, including name, address,
email, telephone number, sex, age, and date of birth. This information
is used for the purposes of communications from the Orca Synchronized
Swimming Club and in determining demographics and market trends. The
information is also used by and disclosed to Sport Canada, Synchro
Canada, and Synchro Alberta for annual demographic reporting,
registration, determining age group, and to communicate with
participants about synchronized swimming programs, events, and
activities.
I understand that the Orca Synchronized Swimming Club, Synchro Alberta,
and Synchro Canada have the right to take photographs, videotape, or
digital recordings of club members and to use these in any and all
media. I am aware that by giving this consent, I am permitting my/my
child's name to be posted on the Orca Synchronized Swimming Club,
Synchro Canada, and Synchro Alberta website and publications, which can
be viewed by anyone who has access to these websites or publications. I
understand that I may withdraw consent to the collection, use, or
disclosure of my personal information at any time by contacting the
Orca Synchronized Swimming Club, Synchro Alberta, or Synchro Canada.
I hereby consent to the use of the personal information for the above
purposes.
I consent to the use of
my personal information as described here.
I do not consent to the use of my personal
information as described here.
3. Synchro Alberta Participant's Agreement or Waiver
Participants agreement will be available on
registration day. It must be signed before the swimmer
can enter the pool.
*Note:
Even if you have registered and paid the fees, until we receive a
completed participant's agreement or waiver, we WILL NOT LET THE
SWIMMER ENTER THE POOL. The participant's agreement or waiver is
required for insurance and liability purposes.
4. Click on "Register"
First, print this completed registration form for your
future reference.
Then, click on "Register" to e-mail your registration
information to the Orca Synchro registrar.
• You may receive alerts that an e-mail is being sent on your
behalf. Please approve these alerts to send the message.
• If an e-mail application opens and presents you with a
mostly empty message to registrar@orcasynchro.org, this online
registration form does not work with your browser. Please register by
phone. You may still pay by credit card by using step 5.
5. Payment
Please select below.
• Until the end of March, club members can guarantee a space
for the fall by registering and paying a deposit of $60.
• If your fee amount doesn't appear below, select the bottom
option, "Pay some other amount."
Click on a Pay Now
button to go to PayPal's secure website to pay by PayPal or credit card
(Visa, MasterCard, Discover, or American Express). Orca Synchro will
not receive your credit card information from PayPal. You do not need
to create a PayPal account, nor do you need to sign in to your PayPal
account if you have one. Instead, under "Don't have a PayPal account?"
click Continue. If you have problems with PayPal, please contact them
at the
PayPal complaint web page or by phone at 1-402-935-2080 (not
toll-free).
We request shipping information to
collect your address via the secure PayPal website.
As well, for children, on the PayPal web page titled Review
Your Payment click
the plus sign beside "Swimmer's name and birthdate" to provide the child's
name and birthdate to create an official
receipt for income tax purposes. (If you forget, print the child's name
and birthdate on the receipt and bring it to the treasurer to be
signed.)
When you're done at PayPal, this portion of your
registration is complete. Payment transaction details will be e-mailed
to you by PayPal, and the transaction will appear on your credit card
statement as PAYPAL *ORCASYNCHRO. Retain the receipt PayPal e-mails you
for the federal children's fitness tax credit for children under 16.
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