Waiver | Plymouth Aquatic Center

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Let's Get Swimming!
PAC Release, Indemnification and Hold harmless agreement

First Name

Last name

Address

Phone

Email

Emergency Contact Name & Number (friend, family member, or guardian)

Please list any additional minors or members names:

Waiver Agreement:

I agree to the terms & conditions

Electronic Signature:

Select a date * required

Thank you for your submission! Get swimming!

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