Barron Swim School Enrollment for Simon Says

Barron Swim School Enrollment for Simon Says

I am enrolling my child(ren) for swim lessons at Barron Swim School through Simon Says for summer 2018.

Parent Name: Cell Phone: ( ) -

Email: Work Phone: ( ) -

Home Address:

City: State: Zip:

Child 1 Name: Date of Birth: Classroom:

Swim Experience:

Child 2 Name: Date of Birth: Classroom:

Swim Experience:

Child 3 Name: Date of Birth: Classroom:

Swim Experience:

COST:

$129 per child – Make check payable to “Barron Swim School” and turn in to Simon Says with this form.
*Registration deadline is Friday, May 4.

Please initial each of the policies below:

______DOUBLE-DIAPER POLICY: All students up to the age of three, even if they are potty trained, must wear a disposable swim diaper and an approved non-disposable swim diaper to assure a double layer of protection. After the age of three, if your child has been accident free for 4 months they may discontinue the use of swim diapers.
The non-disposable swim diaper must pass the two - finger test (A regular disposable diaper is not allowed; it must be a swim disposable diaper). If two fingers can be inserted under the elastic in the legs or the waist, the swim diaper is too large and the child will not be permitted to enter the water. Wearing only one diaper (regardless of the type) is not allowed. Both types of swim diapers and suits with built-in swim diapers are for purchase in our gift shop.

______RISK and WAIVER of LIABILITY: Yes, my child(ren) has my permission to attend classes/activities at Barron Swim School under the terms and conditions set out below.
To the extent permissible by law, I/we hereby release, discharge and/or otherwise hold harmless and indemnify Barron Swim School, it's owners, officers, directors, employees and associated personnel, from and against any and all demands, claims and causes of action arising, directly or indirectly, from my or my child's/ward's participation in its programs. THIS RELEASE SPECIFICALLY INCLUDES ANY DEMANDS, CLAIMS AND CAUSES OF ACTION ARISING OUT OF THE PAST OR FUTURE NEGLIGENT ACTS AND/OR OMISSIONS OF BARRON SWIM SCHOOL, IT'S OWNERS, OFFICERS, DIRECTORS, EMPLOYEES AND ASSOCIATED PERSONNEL.
I give permission for Barron Swim School owners, officers, employees, and/or agents to seek emergency medical treatment for the participant(s) in the event they are unable to reach any parent or guardian. The undersigned also agrees that they themselves will be responsible for any financial debt incurred by said action.

______MARKETING RELEASE: Occasionally Barron Swim School uses photos or video of its students in print ads, on its website, or other marketing mediums. I understand that my child's likeness may be used in such advertising, and my child's name will not be advertised with images. These images will be used for Barron Swim School purposes only and will not be given or sold to outside companies or individuals.

______MAKE-UP POLICY: This program is specially scheduled for Simon Says. There will be no opportunity for make-ups due to missed classes.

I agree to all policies outlined above.

Signature: Date: / /