Summer: Level 5 - Swim Team Prep Registration Form
Swim Team Prep Clinic
Dates: Weekly lessons starting June 3
Min/Max: 6 swimmers/20 swimmers per class

Days:
           
Monday through Friday
11:00 - 12:00 pm      
           

Fees:

Members (Will be charged to the account)
$90 (5 classes M-F)


Non-members (Payment information must be provided prior to first class)
$115 + $15 Facility Fee (5 classes M-F)


Level 5 - Swim Team Prep Clinic
Prerequisites:

Must be able to swim 100 yards of the pool unassisted
Swim 25 yards freestyle
Swim 25 yards backstroke
Have a working knowledge of breaststroke & butterfly

Junior Swim Program Registration Instructions/Guidelines:
1. Complete all information on the form below.
2. Availability is based on time and date registration is received.
3. Non-members must enter and exit the club in a timely manner (approx. 30 minutes). Non-members are allowed to attend their lessons and are not allowed to use any other part of the facility.
4. Pro-rating will be accepted for medical reasons only (doctor’s note required).
5. Parent/Guardians please sign the Financial Responsibility Agreement below.
6. No refunds after start date.
7. No refunds/make-ups for non-attendance or lack of student participation.
8. Swimmer placement is subject to swim instructor approval.
9. All non-members must put a credit card on file or pay with check prior to enrolling in classes.
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Swimmer's Name (First Name, Last Name) *
Birthdate *
MM
/
DD
/
YYYY
Email Address *
Phone Number *
Is Swimmer a Member? *
Classes desired: *
Required
Five Seasons Cancellation Policy
No refunds after start date as well as adjustments to bill after session has finished.
Financial Responsibility Agreement
I understand that I am financially responsible for all fees and dues associated with my child's program participation at Five Seasons Sports Club. Financially Responsible Parent/Guardian, please sign below.
Signature (Please type in your name) *
Waiver of Liability
I agree to abide by club rules and regulations. It is expressly agreed that all use of the club's facilities shall be undertaken at my sole risk, and the Club shall not be liable for injuries, loss or damages resulting from acts of active or passive negligence on the art of the club, its owners, officers, employees or agents.
Signature (Please type in your name) *
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