Registration Forms

Est.

2009

Follow us on Twitter: @PowerForLife3

EmPOWERing Swimmers FOR Success in LIFE. A USA Swimming / Gulf Swimming member organization in Katy/West Houston Call Us! 832-622-2561

Placement requires a coach's evaluation. Registration fees are non-refundable.

Registration fees are $125 per season for cash or check payments. Registration fee covers the program and includes a t-shirt. Make checks payable to POWER. Go here for more info and to pay via PayPal.

By submitting this form, I agree to register my swimmer, named below, with Power Aquatics: *

Register for Shark School

Parent/Guardian Cell Phone *

T-Shirt Size: *

Home Phone

I have read and agree to the Power Aquatics waiver, policies & procedures, late pick-up policy, and payment policies outlined on the downloadable registration forms located on this web page. This electronic submittal counts as my signature to register my swimmer with Power Aquatics. *

Yes

POWER AQUATICS

Street Address: *

Gender: *

Medical Information: *

Your registration is not complete until we receive your registration fee in full. Payment information and to pay with PayPal, go here.

Swimmer First Name: *

Parent Email *

Emergency Contact: *

Swimmer Middle Name: *

City: *

Insurance: *

Swimmer Date of Birth *

Parent/Guardian Cell Phone 2 *

School/Grade: *

Mother's Name *

Swimmer's Physician: *

Father's Name *

If you have any questions please contact the Team Manager at 832-303-3117 or teammanager@poweraquatics.org

Zip Code: *

Items with an asterisk are required.

Use our interactive form, below, to register online for Shark School. Registration payment can be made online via PayPal .

A new registration form is required each season.

I grant Power Aquatics permission to use my child's photo on team slide shows and website. *

Yes

Registering for: *

Shark School

Swimmer Last Name: *