Please select which of the programs you are registering for:

Registrants must receive an invitation to join the team prior to filling out the registration form below. Forms that are received without an advanced request will be deleted. Please contact Coach Eric eric@cougaraquatic.com with any questions.

* indicates required fields.

Parental Information

Contact Information

Please enter all cell phone numbers and e-mail addresses you would like to include on the team’s e-mail and distribution list. The e-mail distribution list will be used to send out messages which include general information, updates on meets and practices. Both the text and e-mail distrubtion list will be used in times of emergencies, such as cancelations due to inclement weather.

Child / Swimmer Information

Child #1
(Middle name is necessary for NJ Swimming registration)


Transfer Swimmers

Please fill out the form if you were previously registered with another team. This applies only to those who have transferred directly from another team going into this season. All others, please leave blank.

Medical Information

Please fill out the following medical information below. A physician must also fill out a separate medical release form. A school medical release form can be used if it was signed within one year of child’s registration date. The medical release form must be handed in to your coach by the first week of practice.

Physician medical release form: click here

Were you ever medically advised not to play any sports? Include date and reason below
Are you under a physician’s care now or had recent hospitalization? Describe below
Have you ever experienced loss of consciousness after exercise or after injury? Describe below
Have you ever had a seizure or convulsion?
Have you ever had a fracture, dislocation or other orthopedic injury?
Have you ever had a surgery?
Have you ever had a bleeding disorder?
Have you ever had loss of function of kidney or testicle?
Do you take any medication on a regular basis? Include name and reason below
Do you have any allergies, including drug allergies, hives, asthma, stinging insect bites?
Have you had heart problems, high blood pressure, recurring chest pains, palpitations, rapid or irregular heart beats?
Do you have a recent history of fatigue or undue tiredness?
Is there a history of sudden death in the family?
Is there any other medical concern we should be aware of?

If you wish to register multiple children, use the button below.

Waivers

I understand that by registering with the Cougar Aquatic Team, I am consenting to the inclusion of our family’s names, address(es), phone number(s) and email address(es) in the team’s directories and rosters that are distributed to the coaches and to the families who belong to Cougars, as well as published on the password protected portion of the Cougar website that is accessible to the coaches and other Cougar families. I also consent to the publication of my child’s name, meet entries and meet result on the non-password protected, publicly accessible portions of the Cougar website, as well as to the publication on that website of team photographs and videos that may include images of myself, my child and other members of my family.

RELEASE OF LIABILITY -- READ BEFORE SIGNING

I, the enrolled participant and / or the parent / guardian of the participant agree and understand that swimming is a HAZARDOUS activity. I recognize that there are risks inherent in the sport of swimming, including but not limited to, paralyzing injuries and death.

The participant hereby agrees to participate in the Cougar Aquatic Team and hereby agrees to indemnify and hold harmless the Cougar Aquatic Team, its coaches, officers, directors, agents and employees against any liability resulting from any injury that may occur to the participant while participating with the Cougar Aquatic Team. The participant also agrees to indemnify the Cougar Aquatic Team for any damages incurred arising from any claims, demand, action or cause of action by the participant.

The participant authorizes any representative of the Cougar Aquatic Team to have the participant treated in any medical emergency during their participation with the Cougar Aquatic Team. Further, the participant and / or parent / guardian agree to pay all costs associated with medical care and transportation for the participant.

I HAVE CAREFULLY READ THE ABOVE LIABILITY RELEASE AND SIGN IT WITH FULL KNOWLEDGE ITS CONTENTS AND SIGNIFICANCE.

In consideration of being allowed to participate in any way in the Cougar Aquatic Team program, its related events and activities, I, the undersigned, acknowledge, appreciate, and agree that:

1. The risk of injury from the activities involved in this program is significant, including the potential for permanent paralysis and death, and while particular skills, equipment, and personal discipline may reduce this risk, the risk of serious injury does exist; and,

2. I KNOWINGLY AND FREELY ASSUME ALL SUCH RISKS, both known and unknown, EVEN IF ARISING FROM THE NEGLIGENCE OF THE RELEASEES or others, and assume full responsibility for my participation; and,

3. I willingly agree to comply with the stated and customary terms and conditions for participation. If, however, I observe any unusual significant hazard during my presence or participation, I will remove myself from participation and bring such to the attention of the Company immediately; and,

4. I, for myself and on behalf of my heirs, assigns, personal representatives and next of kin, HEREBY RELEASE, INDEMNIFY, AND HOLD HARMLESS THE Cougar Aquatic Team program, their officers, officials, agents and/or employees, other participants, sponsoring agencies, sponsors, advertisers, and, if applicable, owners and lessors of premises used for the activity ("Releasees"), WITH RESPECT TO ANY AND ALL INJURY, DISABILITY, DEATH, or loss or damage to person or property, WHETHER ARISING FROM THE NEGLIGENCE OF THE RELEASEES OR OTHERWISE, to the fullest extent permitted by law.

I HAVE READ THIS RELEASE OF LIABILITY AND ASSUMPTION OF RISK AGREEMENT, FULLY UNDERSTAND ITS TERMS, UNDERSTAND THAT I HAVE GIVEN UP SUBSTANTIAL RIGHTS BY SIGNING IT, AND SIGN IT FREELY AND VOLUNTARILY WITHOUT ANY INDUCEMENT.

FOR PARENTS/GUARDIANS OF PARTICIPANTS OF MINORITY AGE (UNDER AGE 18 AT TIME OF REGISTRATION)

This is to certify that I, as parent/guardian with legal responsibility for this participant, do consent and agree to his/her release as provided above of all the Releasees, and, for myself, my heirs, assigns, and next of kin, I release and agree to indemnify and hold harmless the Releasees from any and all liabilities incident to my minor child's involvement or participation in these programs as provided above, EVEN IF ARISING FROM THE NEGLIGENCE OF THE RELEASEES, to the fullest extent permitted by law.



Volunteer Agreement

1. Each swimmer will be entered into the meets they qualify for unless their coach is notified in advance that the swimmer will not attend the meet. There will be no entry fees returned once the swimmer has been entered into the meet.

2. Each family will be assigned a timing assignment for the meets that their swimmers are attending. A head timer will be assigned to each met and will send out the timing assignments through each groups e-mail distribution. It will be your responsibility to find a replacement if you are not able to fulfill your obligation. Please notify the head timer in advance of any changes.

3. The Cougar Aquatic Team hosts three meets every year. These meets bring in funds that benefit the entire team. All families will be required to volunteer their time working any three (3) sessions of the three (3) hosted meets, even if their children do not swim in any of the meets. If for any reason a family cannot attend one (1) or all of the sessions, they may relinquish their responsibility by paying $150.00 per session missed. (Please understand that this is not an attempt to collect monies; these meets require so many volunteers to run smoothly that we do not want to have to beg our fellow parents to work, we would prefer volunteer(s).

4. In lieu of asking families for concession dontations (i.e. snacks, water, Gatorade, etc) for CAT hosted meets, you will see a fee of $10.00 per swimmer per hosted meet charged to your Meet Fee Account. The concession items needed for the meet(s) will be purchased from these collected fees.

Sign-up sheets and information on our hosted meets will be made available at the mandatory parent meeting as well as on our website. All positions will be filled on a first come first serve basis. Any positions remaining open will be filled by families who have not volunteered.

Any questions, please contact Kim Rozanitis at krozanitis@hotmail.com



Meet Fee Account

We handle meet fee’s by setting up an escrow account that we deduct the meet fee’s from throughout the season. Our Meet Fee Coordinator, Terry Murray, will send out invoices in September, January (before Championship Meets) and May (before the Long Course Season). At those times, we ask that everyone replenish their accounts. Your ‘escrow amount’ (below) will be included in the ‘amount due’ on this invoice. Your invoice will state your current balance which will be in parenthesis if you have money in your account. If there are no parenthesis, this means you have a negative balance and money must be sent in as soon as possible. The invoices are sent out via e-mail so please make sure we have your accurate e-mail address.

The initial escrow amounts that we ask you to send in to set-up your account are:
Senior National, Senior 1 and Senior Prep: $200.00
Gold Team and Silver Team: $150.00
Bronze Team and Junior Team: $100.00

Along with the invoice you receive, you will find instructions on who to send the check to. Please keep in mind these payments will be separate from those that you make for tuition. Tuition payments will be made out to "Cougar Aquatic Team, LLC" and given to Coach Eric. Meet fees will be made out to "Meet Fee Account" and given to our Meet Fee Coordinator, Terry Murray. Please do not get the two confused as they are separate entities.