2023 Registration GAINswim Clinic September 15-17th, Carmel IN "*" indicates required fields Team Registration* Individual – $967 Team / Staff Registration – $1,996 3 members included in registration Additional staff Quantity Price: $124.00 Quantity For every staff member over 3 – $124 per additionOrganization* Team, Club, BusinessAttendees*First NameLast NameEmailPhoneT-shirt size (S,M,L,XL,XXL) Add RemoveAdd personal information for all staff members attending. Click the + sign after completing each entry to add another staff memberConsent* I agree to the consent and use of information agreementI hereby consent to voluntarily engage in the 2023 GAIN Swimming Clinic September 15-17th. Depending upon my health status, I may or may not participate in the exercises and assume all risk. I understand that I am expected to follow staff instructions regardless of participation. I also understand that during the clinic physical touching and positioning of my body may be necessary to assess my muscular and bodily reactions to specific exercises, as well as to ensure that I am using proper technique and body alignment. I expressly consent to the physical contact for the stated reasons above. It is my understanding and I have been informed that there exists the remote possibility during exercise of adverse changes including, but not limited to, abnormal blood pressure, fainting, dizziness, disorders of heart rhythm, and in very rare instances heart attack, stroke, or even death. I further understand and I have been informed that there exists the risk of bodily injury including, but not limited to, injuries to the muscles, ligaments, tendons, and joints of the body. I fully understand the risks associated with exercise, including the risk of bodily injury, heart attack, stroke or even death, but knowing these risks, it is my desire to participate as herein indicated. In case of any of the above I shall hold GSTS, Chris Webb, the Carmel Swim Club, GAIN Swimming, its agents, and Carmel High School faultless. Use of Information I have been informed that the information which is obtained by me at this clinic will be treated as privileged and confidential. This information is not to be used by me outside of this clinic except for educational purposes. No materials may be posted or reproduced in any way without written consent. No video or photos of any kind shall be permitted during athlete training sessions. Attendance of this clinic does not certify me as a qualified administrator of the information provided. This is an educational event only. SignatureTotal Coupon Code Payment Method*PayPal CheckoutCredit Card MasterCardVisaSupported Credit Cards: MasterCard, Visa Card Number Expiration Date Security Code Cardholder Name Payment Details https://thegainnetwork.com/wp-content/uploads/2023/07/F8790179-90DA-4A32-956E-15749616DFAD.png 1080 1080 Chris Webb https://thegainnetwork.com/wp-content/uploads/2019/11/logo_red.png Chris Webb2023-07-19 19:32:032023-07-21 23:01:212023 Registration