Thomas Township

Child's Name:



Level 1 Dates:

Level 1 Times:

Level 2 Dates:

Level 2 Times:

Level 3 Dates:

Level 3 Times:

Level 4 Dates:

Level 4 Times:


City Zip

Home Phone School

Mother's Name Work Phone

Father's Name Work Phone

Cell Phone E-mail

Person(s) Child may be released to other than parent (one per line):

**The following information is needed in case of an emergency**

*Emergency-Notify: Work Phone

*Physician's Name Phone

*Dentist's Name Phone


*Current medications

By Checking this box I Authorize, In case my child needs emergency treatment and the above person(s) cannot be reached in order to give permission, I hereby give my consent for the authorization of such first aid/medical/hospital care or treatment as needed

I agree

By Checking this box I verify that I understand Thomas Township, its employees and volunteers shall not be responsible fo any injury to my child while participating in this swim program. I waive and release Thomas Township, its employees and volunteers from any and all claims./p>

I agree

Please enter the text below


Contact Us

Monday - Friday

249 North Miller Road
Saginaw, MI 48609-4896

PHONE: 781-0150

Sports Registration – 2018

Register Today
2018 Flag FootballRegister
2018 Spring SoccerRegister
2018 Two Day Outdoor Spring Soccer ClinicRegister
2018 Girls SoftballRegister
Roethke Swim Lessons 2018Register

Community Calendar

March 2018

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