Summer Child & Me Waiver & Registration
Thank you for choosing The Claremont Club for your summer swim! 

If you have questions or require additional information, please email us at tccswim@claremontclub.com or call us at (909) 625-6791 ext. 984

This form is for Swim School registration only. All sign-ups for Swim Team and Private Swim Lessons are done via email at tccswim@claremontclub.com.
Email *
Are you or your child a TCC member? *
Child's Name *
Date of Birth *
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DD
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Child's Age *
Parent/Guardian Name
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Parent/Guardian Email
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Address (street, city, zip)
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Phone Number
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Additional Phone Number
Emergency Contact Name
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Emergency Contact Relation
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Emergency Contact Phone Number
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Emergency Secondary Phone Number
Waiver or Liability -
I, the undersigned, hereby release The Claremont Club and the McKay Group which I have enrolled my child, and all its officers, employees, independent contractors, acting within the scope of this employment, of any and all liability for damages arising from personal property loss or any bodily injury received by me or any bodily injury received by my/any child(ren) with whom I am responsible while participating in said facility services, programs, and/or classes.

Please type your name and date below.
*Typing your name is your signature.
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Refund & Cancellation Policy -
Cancellations greater than one week will receive a full refund minus registration fees. Cancellations within one week will receive a 50% refund. Cancellations day of or once the classes begin will result in no refund. Class time/session changes will incur a $25 change of registration fee. This fee cannot be waived. There are no make-up sessions.

Please initial below.
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Permission for medical treatment -
In case of accident or emergency, I authorize a guardian or EMT to take my child to the nearest emergency hospital for such emergency treatment and measures that are deemed necessary for the safety and protection of the child at my expense.

Please type your name and date below.
*Typing your name is your signature.
 *
Photo Release -
I, the undersigned, hereby grant the forever release unto The Claremont Club permission to take photographs of my child(ren), and all my rights, title and interest in and to all photographs, negatives and prints taken by them, and also the right to publish, display, copyright, and use them, or any part of them, alone or in conjunction with other persons or characters, real or imaginary, for any and all advertising, in all publications and other advertising media without limitation or reservation, either with or without their name or identification and use the photographs or any part of them, alone or in composition with other reproductions of any kind.
I, the undersigned, parent or guardian of the child(ren) hereby consent to the foregoing.

Please type your name and date below.
*Typing your name is your signature.
 *
Is your child enrolled in any of the BIG FUN Camps?
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If yes, what are the dates of camp your child is in?
*For transfers you must enroll in the 11am, 1pm, or 2pm class times.
Please select which date you are registering for?

Mon/Wed Pricing: Members $140, Guests $180
Saturday Pricing: Members $80, Guests $100
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Class Time (1st Preference) *
Class Time (2nd Preference)
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Change of class time or session will result in a $25 registration change fee. Cancellations greater than one week prior will receive a full refund. Cancellations within one week will receive a 50% refund. Cancellations the day of class or once a class begins will result in no refund. 

Please initial below.
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Total Due

*Please enter all lesson pricing for all selected.
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Please enter your credit card number below.

Members can use COF (card on file). Please indicate below.
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Credit card expiration date (Month/Year)
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Credit card CVV (located on back of card or for AMEX the 4 digits on the front)
 *
Name on credit card
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Permission to charge credit card or COF for total entered above.

Please type your name and date below.
*Typing your name is your signature.
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