GREEN MOUNTAIN AQUATICS
Vermont Invitational Meet
Summary Sheet
TEAM: CODE:
ADDRESS:
COACH: PHONE:
E-MAIL: FAX:
CONTACT: PHONE:
E-MAIL: FAX:
# of male events @ $3.50 electronic # of female events @ $3.50 electronic
or $4.00 manual or $4.00 manual
Total Total
Relay Total
GRAND TOTAL $
Any swimmer who is accepted will for himself/herself, his/her heirs, executors and administrators, waive and release any and all rights and claims for damages he/she may have against U.S.A. Swimming, New England Swimming, Green Mountain Aquatics, Saint Michael’s College Swimming and Diving Team and Saint Michael’s College, for any and all injuries suffered by him/her at the said meet.
Team Representative:
Date:
Checks Payable to: GREEN MOUNTAIN AQUATICS
Mail entry and check to: Laura Matuszak
Green Mountain Aquatics
63 Main Street
Essex Junction, VT 05452