Returning Member? Login to retrieve information from your previous registration.
* Indicates a required field

Summer 2018 Swim and Dive Registration Form

Welcome to the 2018 Registration for Fairfax Swim and Dive. All team members must have a stockholding family membership at Fairfax Swimming Pool to participate. Those on the Fairfax Pool's New Family Waitlist with Access Privileges are also eligible for our Swim and Dive Teams. If you do not already have a stock certificate or waitlist number, please visit the Fairfax Swimming Pool website to become a member. 

Please use this form only for Swim and/or Dive. If you are interested in the Tadpoles program, please click here.

Parent/Guardian Information

At least one parent/guardian registration is required.
New accounts will be sent an email confirmation message with instructions to setup a password.

At least one parent/guardian email address must be provided.
Check the boxes to indicate which parent/guardians should receive team-wide emails.

First Name * Last Name * Email Address *
Required for login
Primary Phone

Remove

Remove
+ Add another parent/guardian
Athlete Information

Enter the information for each athlete being registered below. At least one Athlete registration is required.

First Name * Preferred Name Middle Initial Last Name * Gender * Birth Date *
Remove
Remove
+ Add another Athlete
Home Address

Membership Stock Certificate or Waitlist #

Please provide your FSP Stock Certificate Number or Waitlist Number (please note this is not the same as your Member ID number). If you have not yet joined Fairfax Swimming Pool, please visit https://www.fairfaxpool.com to join. (Current members can find their stock certificate number on their membership cards or by logging into their account at https://www.fairfaxpool.com/membership-payinvoices.html.) *

Winter/USS Swimming

Does your swimmer participate in a winter swim or other USS Swim program? (For NVSL team seeding purposes only.) *

Participation Waiver

As Parent/Guardian of the above-name minor(s), I grant permission for the swimmer(s)/diver(s) to participate in all activities of the Fairfax Swimming Pool Swim/Dive Team, a Northern Virginia Swimming League (NVSL) member team. I represent and warrant that my minor child/children participating on the Fairfax Swimming Pool Swim/Dive Team are in good health and have no physical condition, ailment or disability which renders them unable to participate in vigorous physical activity. For and in consideration of benefits derived from participation in the Fairfax Swimming Pool Swim/Dive Team program, I understand that the risk of injury to my child from the activities involved in these programs is significant, including the potential for permanent disability and death, and while particular rules, equipment, and personal discipline may reduce this risk, the risk of serious injury does exist. I assume all risks and hazards arising out of, or related to, such participation, including, but not limited to, transportation to and from such activities, and do hereby indemnify, release and hold harmless Fairfax Swimming Pool, Inc. and its directors, the Fairfax Swimming Pool Swim/Dive Team, its coaches, team representatives, volunteers, property manager, employees and agents, as well as the Northern Virginia Swimming League, from all claims of any kind whatsoever which may arise or hereafter accrue in connection with my child’s/children’s participation in activities of the Fairfax Swimming Pool Swim/Dive Team. I further grant permission for first aid to be given to my child/children in an emergency, and will be solely responsible for any medical costs which may arise. I AGREE THAT THEY WILL ABIDE BY THE NORTHERN VIRGINIA SWIMMING LEAGUE CODE OF CONDUCT

*
Enter your initials to indicate acceptance: *