Forms And Waivers - Home Lessons
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Swimmers Name
Age *
Date of Birth *
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/
DD
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YYYY

Responsible Parent Name (if minor): 

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Best Parent Phone Number to Be Reached at: 

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Is Texting to the number listed above okay? *
EMERGENCY CONTACT( IF OTHER THAN ABOVE)
Email *
Questions below are for our instructor’s information only. Please answer truthfully as adjustments to teaching styles may pertain and better serve your swimmers needs.

Swimmer in Good Health? 

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Does swimmer have any existing learning disabilities including ADD / ADHD /Autism/Downs/Asperger’s, etc.?

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If yes to above, is swimmer sensitive to touch/ words/sound/bright lights? 

Has swimmer had any traumatic experience with any water related activities (bath, pool, lake, ocean etc.)?
If yes please explain: 

Tuition Fees, Registration Fees and Acceptable Forms of Payment: 

Private Lessons: Monthly tuition due at the first of every month, if payment not received by 1st of the month, your swimmer will lose their time slot(s).

 Travel Lesson Fees:

30 Minute Private Home Lesson: $65.00 per swimmer, per lesson.

30 Minute Semi-Private Home Lesson: $90.00 ($45.00 per swimmer)

30 Minute Self Formed Group Lesson (max 3 swimmers): $105.00 ($35.00 per swimmer)

Annual Family Registration Fee: $15.00 non-refundable

No-Show Fee of Scheduled Private/Semi-Private Lesson: see your lesson rate.

Cancellation fee after schedule is set: $20.00 per lesson.

 Acceptable Forms of Payment: Zelle, Cash or Check, please.   Checks made payable: Water Fit Aquatics

Group Lessons and Private Lessons:

PRIVATE LESSONS:  PLEASE READ CAREFULLY...

Cancellation Fee:   Once your schedule is set, ANY cancellations of scheduled private lesson(s) will be charged a $20.00 per lesson cancellation fee regardless of timely notice. You are still able to reschedule your lesson. This is to ensure coaches are not losing their hours due to your cancellation. Thank you for your understanding. 

No Shows: If you are a NO SHOW for a scheduled lesson you will forfeit the full prepaid lesson fee. 

Late to Lesson: If responsible party/swimmers are late to scheduled lesson, unfortunately you will forfeit the lost time. 

Refunds are issued at Water Fit Aquatics discrepancy. Water Fit Aquatics has the right to refuse service. As a rule of thumb, when the outside weather conditions are not conducive to a proper teaching environment (heavy rain, lightening, thunder, air temp below 60 degrees or water temperature below 78 degrees) lessons may be canceled and rescheduled by WFA staff. 

GROUP LESSONS: PLEASE READ CAREFULLY...

Cancellations/ Late/ Refunds: Cancellation of group lesson session requires a FIVE day written notice via email to Water Fit Aquatics before first lesson date. If less than FIVE days notice or NO notice is given to cancel group session, responsible party/swimmer will forfeit any and all pre-paid lesson fees.  If responsible party/swimmers are late to scheduled lesson, unfortunately you will forfeit the lost time. There are no Make-Ups for missed lessons. Refunds are issued at Water Fit Aquatics discrepancy. Water Fit Aquatics has the right to refuse service. As a rule of thumb, when the outside weather conditions are not conducive to a proper teaching environment (heavy rain, lightning, thunder, air temp below 60 degrees, circumstances beyond our control or water temperature below 78 degrees) lessons may be canceled and may be rescheduled by WFA staff.    

Safe Teaching Environment: Please have pool area clear of debris both on deck and in the water, this includes pool vacuum hose, toys and pets.  Please make sure your pool chemicals are balanced (no green, murky water etc). Please, no smoking near pool during lesson time.  Long hair needs to be back in a ponytail not to obstruct vision or breathing.  Using the restroom before lessons is great. Pool must be heated, Ideal pool temp is 82 degrees. 

Water Fit Staff has the right to cancel lesson on site if pool area, pool water or pool environment is not conducive to a safe and healthy teaching environment as per "Safe Teaching Environment" listed above. On site cancellation will result in a forfeiture of prepaid lesson fee.  


I have read cancellations/late/refund policy for both, Private Lessons or Group Lessons.  I have read Safe Teaching Environment.      Initial below. 


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As the participant or parent/guardian of the participant in said activity, do hereby affirm and acknowledge the inherent hazards and risks associated with water activities including being exposed to COVID-19. Water Fit Aquatics Staff teaches multiple people daily, which puts participants at higher risk of contracting COVID-19. I fully understand that these risks include, but not limited to severe injury, illness and even death.

As the participant or parent/guardian of the participant in said activity, do hereby affirm and acknowledge the inherent hazards and risks associated with water activities. I fully understand that these risks include, but not limited to severe injury and even death. I HEREBY acknowledge for the participant named above, myself, and another other persons affiliated with myself:

 SWIMMING IS A POTENTIALLY DANGEROUS ACTIVITY and involves risks of serious injury and/or death and/or property damage.

HEREBY RELEASE WAIVE, DISCHARGE AND AGREE NOT TO SUE Water Fit Aquatics, instructors, agents or employees (the Releasees) from all liability resulting in any loss or damage, and any claim or demand therefore on account of injury to my person or property or resulting in my death, now and forever, arising out of or related to participation in said water activities, or other related operations that may occur, whether caused by negligence of the Releasees, or otherwise.

 HEREBY EXPRESSLY ASSUME FULL RESPONSIBILITY FOR ANY RISK OF BODILY INJURY, WRONGFUL DEATH OR PROPERTY DAMAGE, now and forever, arising out , or related to participation in said activities, swimming, or other related operations, whether foreseen or unforeseen and whether cause by the negligence of the Releasees, or otherwise.

 HEREBY acknowledge that INJURIES RECIEBED MAY BE COMPOUNDED OR INCREASED BY NEGLENGENT RESCUE OPERATIONS OR PROCEDURES OF THE RELEASEES and agree that this Waiver of Claims, Express Assumption of Risk, Release of Liability, and Indemnity Agreement extends to all acts of negligence by Releasees, INCLUDING NEGLEGENT RESCUE OPERATIONS and is intended to be as broad and inclusive as permitted by the law of the State of California, in which the activities are conducted.

 I EXPRESSLY agree to INDEMNIFY, SAVE and HOLD HARMLESS the Releasees from any loss, liability, damage or cost they may incur, now and forever, arising from, out of, or related to swimming, or participation in said water activities, whether caused by the negligence of the Releasees, or otherwise.

 If any provision of this document is found to be unenforceable or invalid, that provision shall be served from this contract. The remainder of this contract will then be constructed as though the unenforceable provision had never been contained in this document. In executing this document, I am not relying on any oral or written representations or statement made by the Releasees, other than what set forth in this agreement.

Adult Participants:
I hereby declare that I have read the Waiver of Claims, Express Assumption of Risk, Release of Liability, and Indemnity Agreement and fully understand that I have given up substantial rights by signing it. I am aware of its legal consequences, and have signed it freely and voluntarily with inducement, assurance, or guarantee being made to me and intend my signature to be a complete and unconditional release of all liability to the greatest extent allowed by law. I hereby declare that I am of legal age and am competent to sign this agreement or, if not, that my parent or legal guardian shall sign on my behalf, and that my guardian or parent is completely understanding and concurrence with this agreement.

Minor Participants:

As parent or guardian I am signing this document on behalf of my minor child and agree to be specifically bound to all the terms and conditions of this agreement. I have read the agreement, fully understand the terms herein, understand that I have given up substantial right by signing this, am aware of its legal consequence, and have signed this document freely and voluntarily without inducement, assurance or guarantee being made to me. I intend my signature to be complete and unconditional release of all liability to the greatest extent allowed by law and further agrees to indemnify and save and hold harmless Releasee. 

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Required

Side Notes: If child has long hair, please pull back in a ponytail not to obstruct vision or breathing.

Yes! Take pics and share on Water Fit Aquatics Facebook Page. We love seeing your swimmer learn how to swim. Thank you.
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