Montessori Academy Summer Swim Registration
Summer Swim Lessons Offered at Montesssori Academy Swimming Pools.  Depending on the level will determine which pool the lessons will be held in.  Please complete a form for each child you are enrolling into Kidtastics Swimming Lessons.

After you fill out this order enrollment form, we will contact you to go over details and availability before your lessons are booked and payment is taken. If you would like faster service and direct information please contact us at sofun@kidtastics.com
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Email *
Student's First Name *
Student's Last Name *
Student Age *
Required
Student Grade/ Class *
Student/ Parent's Street Address  *
Student/ Parent's City *
Student/ Parent's Zip Code *
Student Current Level *
Required
What are your child's interests and fears?
What is your goal for your child's swim lessons?
Student's allergies or any other medical concerns?  Due to the nature of the sport we are required by law to tell you about the signs and dangers of a concussion.  Please click this link to educate yourself on concussions:  Awareness form
Do you have any behavioral strategies or positive reinforcers that you would like to share?
Type Of Lesson - no pro-rating.  Rates are for 4 days per week. 30 minute swim lessons. *
Required
Sessions Enrolling- select all session you want your child to participate in
Time Of Lesson- select all the times your child is available for and we will assign your child one time slot
Dress Code
Children should wear swim suits, sunscreen and swim diapers are required for all children under age 3, even those who are potty trained.  We highly suggest you double diaper your child.  Meaning, you use a re-usable diaper along with a reusable diaper to prevent any leakage of feces.  Children at summer camp will be changed by the school employees.
Cancellations & Refunds Policy
Cancellation by an individual will result in a 75% refund until 4 days prior to the first lesson; at which time no refund is available. No refunds are given after the semester starts.  No refunds are given for missed classes.  If a class is cancelled due to weather conditions then a make-up class will be arranged.  A full refund will only be given if classes are cancelled by Kidtastics.  Classes do not meet on holidays, please discuss with your instructor about any possible holidays.  

Makeups are arranged through the Kidtastics office for emergencies only and are subject to a $30 gas fee.  Schedule conflicts do not qualify for makeups.  Makeups for children's illnesses require a doctor's note and a $30 non-refundable makeup fee or you can choose to forfeit your missed lesson.  Makeups cannot be rescheduled.
Informed Consent And Waiver/ Release:
 I, the undersigned, as parent or legal guardian of the child listed above in consideration of the request and permission of my son(s)/daughter(s) to participate in the activities involving height or motion, those activities including but not limited to gymnastics, tumbling, trampoline, yoga, aerials, dance, cheerleading, running, weight training, swimming, diving, exercise and fitness conducted by Kidtastics, LLC. I, the undersigned, as parent or legal guardian, hereby assume full responsibility for all the risks of injury or loss which may result from my son(s)/daughter(s) participation in these activity and hereby agree to hold harmless, release and forever discharge Kidtastics, LLC, it’s officers, agents, managers, supervisors, and employees from and waive any and all claims and demands whatsoever which the undersigned and any of them or any third person of any accident, illness, injury or death of any person and persons, or damage to or loss or destruction of any property arising or resulting from swimming, gymnastics, dance, weight training, and a variety of strenuous exercise, vigorous physical activities  and/or running directly or indirectly from my son(s)/daughter(s) participation in the aforementioned programs and occurring during said participation or any time subsequent thereto, save and except that the above provisions shall not be applicable to injury to or death of persons, or damage to or loss of property arising out of the sole negligent acts or omissions of Kidtastics, LLC, their officers, agents, managers, supervisors, or employees.  The terms of this release shall serve as release and assumption of risk for my own son(s)/daughter(s), heirs, executors and administrators and for all my family members.  I understand, agree, and acknowledge that there are risks inherent in the sports activities conducted by Kidtastics, LLC, including, but not limited to paralyzing injuries, concussions, brain injuries and death. These activities may be of a hazardous nature and/or may include activities such as swimming, dance, gymnastics, a variety of strenuous exercise, and vigorous physical activities. With the full understanding of the facts, I state, that there are no apparent health conditions of my son(s)/daughter(s) listed on this application, which would hinder or prevent his/her active participation in the Kidtastics, LLC programs.

Consent for Emergency Medical Treatment:
In the event of a medical emergency, the undersigned Parent(s)/Guardian(s) of the above named child, hereby grants authorization to Kidtastics, LLC, and its representatives, to employ any legally licensed physician or health care facility on behalf of each of the undersigned, and to direct and/or order emergency medical treatment for the above named child. Each of the undersigned further agrees that neither Kidtastics nor any of its representatives shall be liable under any circumstances to anyone for exercising the foregoing authority in the event of an emergency.  Further, I agree to pay all costs associated with medical care and transportation for the child.  I have noted any and all medical or health problems the child has of which Kidtastics, LLC should be aware in the health considerations section of this form.
*
Parent First Name *
Parent Last Name *
Parent Contact Number *
Opt-In for text messaging reminders- Let Kidtastics send you reminders of your upcoming swim lesson appointments by opting-in by replying YES below. *
E-mail- you will be opting into our mailer automatically *
Payment Type
A copy of your responses will be emailed to the address you provided.
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