Fall Fall Fall Fall/Winter /winter /winter /winter Swim Lessons 2012 Swim Lessons 2012 Swim Lessons 2012 Swim Lessons 2012 - 2013 2013 2013 2013
Fall Fall Fall Fall/Winter /winter /winter /winter Swim Lessons 2012 Swim Lessons 2012 Swim Lessons 2012 Swim Lessons 2012 - 2013 2013 2013 2013
Fall Fall Fall Fall/Winter /winter /winter /winter Swim Lessons 2012 Swim Lessons 2012 Swim Lessons 2012 Swim Lessons 2012 - 2013 2013 2013 2013
Times:
Level 1: 5:30-6:00pm Level 2: 6:15-6:45pm Level 3-6: 7:00-7:45pm
Times: Parent Child: 10:15-10:45am Level 1-2: 10:50am-11:35pm Level 3-6: 11:45am-12:30pm
Registration Information
Participant Name______________________________________D.O.B._______________________Age_________ Male________ Female_______ Parent Name________________________________________________________ Address_________________________City______________________State_________________Zip____________ Email___________________________ Cell Phone_______________________ Home Phone__________________ Emergency Contact_________________________________ Emergency #_________________________________ Medical Conditions/Special Needs__________________________________________________________________ Session______________________________Class__________________________Time______________________
Ex: Aug.9-Sept.1 Ex. Level 1, 2, 3, etc. Tues/Thurs 5:30-6:00pm
Make-up Policy: We will use the emergency number provided on your registration form to contact you for any cancellations, please makes sure you can be reached on that number prior to swim lessons. .Q: If the Pool closes during swim lessons will that lesson be made up? A: Yes. Anytime the pool closes due to storms or for other safety issues that lesson will be made up. If time allows your instructor will also contact you prior to lessons starting if the pool will be closed during lesson time. Q: If I miss a lesson due to other obligations can I make up that lesson? A: No. In extenuating circumstances such as extended illness or family emergencies the lesson can be made up. Q: When will lessons be made up? A: There are built in make-up lesson on Mondays/Wednesdays/Fridays during the session. I hereby, for myself, my heirs, executors, and administrators, waive and release any and all claims and damages I may have against the YMCA of Western North Carolina and their respective agents, representatives, successor, and assigns, for any and all injuries which may be suffered by me or my family in connection with participation in YMCA activities and programs. I also grant full permission to the YMCA to use any photographs or video recordings taken of me or my family. I agree to comply with YMCA policies and procedures and understand that my participation can be terminated without refund for exhibiting inappropriate behavior or abuse toward the YMCA staff and/or facilities. Signature_____________________________________Date_____________________________
Class Options: 1 hour total (2-1/2 hour lessons, or 1 one hour lesson) Fee: Member: $45 Nonmember: $55
Class options: Tuesday/Thursday evenings, 6:15- 7:00pm, 7:00 7:45pm Fee: Member: $30 Nonmember: $50
Class Options: Level 1/2: 10:50am -11:35am Level 3-6: 11:45am -12:30pm Fee: Member: $25 Nonmember: $45