CLEARBROOK COMMUNITY POOL

SWIM LESSON REGISTRATION 2018

**This is for swim lessons only – Not for any of the Summer Recreation programs**

Session 1– June 18-June 29 Session 2– July 9-July 20 Session 3– July 23 - Aug 3

Cost: $30.00 per student per session with a Pool Membership

$35.00 per student per session without a Pool Membership

Classes: Nine(9)fifty (50) minute classes are taught Monday thruFriday the first week and Monday thru Thursday the second week. The second Friday will be a make-up/rain day, if needed.

Times:Levels 4, 5 & 6 – 9:30 am to 10:20 am

Levels 2 & 3 – 10:20am to 11:10 am

Level 1 –11:10 am to 12:00 pm

Please fill out the registration form and return to the City of Clearbrook, 200 Elm St SW, PO Box 62, Clearbrook, MN 56634; Office Hours – 8:00 am to 4:00 pm; May also be left in the outside drop box located at the Clearbrook Community Center. Payment for lessons must be madebefore the first day of lessons. Payments for lessons will not be accepted at the Pool & must be paid at the City Office. Please feel free to contact the City office at 218-776-3213 with any questions.

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Swim Lesson Registration Form

( Please Print Clearly )

Parent/Guardian’s Full Name______

Address______City______State ______Zip Code______

Phone Number______E-Mail Address______Additional Emergency Contact & Phone ______

Physical Restrictions/Allergies/Medical Conditions______

Child’s Name______DOB____/____/____ Session #______Level ______

Child’s Name______DOB____/____/____ Session #______Level ______

Child’s Name______DOB____/____/____ Session #______Level ______

Child’s Name______DOB____/____/____ Session #______Level ______

Child’s Name______DOB____/____/____ Session #______Level ______

Child’s Name______DOB____/____/____ Session #______Level ______

Child’s Name______DOB____/____/____ Session #______Level ______

Child’s Name______DOB____/____/____ Session #______Level ______

Disclaimer: By Signing below and paying program fees, I agree to indemnify and hold harmless the City of Clearbrook including it’s staff & sponsors, from any and all claims and demands, costs or expenses, which may result from participating in the program. I authorize the City of Clearbrook to use emergency medical treatment for the above name participant and notify the proper authorities should an injury occur.

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Parent/Guardian SignatureDate

Office Use Only

Payment Date Amount $ O Cash O Check #______

You may register for swimming lessons at the City Office Monday through Friday from 8:00 am to 4:00 pm or leave your registration form & payment in the drop box.

There will be no limit for the number of children per class.

Children must be 5 years of age to register for swimming lessons. No Exceptions.

2018 Pool Memberships can be purchased at the time of swimming lesson sign up or can be purchased at the Clearbrook City office at any time. Cost of Membership includes: open swim, reduced cost for swimming lessons, lap swim, water walking, water aerobics and parent-child swim.

2018 Membership Rates

Family - $100

Individual/Single - $65

We are currently planning to open the Clearbrook City Pool

on or aroundJune 1st, 2018, depending on weather.

We will post the opening date at the pool, the City office and other businesses in town. If you have any questions or concerns regarding swimming lessons, when the pool is opening or pool memberships,

please call the City office at 776-3213. Please listen to KKCQ, 96.7FM (Fosston radio station) for all pool related announcements, such as pool closings and swim lesson cancellations.

2018 Clearbrook Pool Weekly Schedule
Sunday / Monday / Tuesday / Wednesday / Thursday / Friday / Saturday
7:30am-10:00am Closed / 7:30am-9:30am Water Walking & Lap Swim / 7:30am-9:30am Water Walking & Lap Swim / 7:30am-9:30am Water Walking & Lap Swim / 7:30am-9:30am Water Walking & Lap Swim / 7:30am-9:30am Water Walking & Lap Swim / 7:30am-10:00am Closed
10:00am-1:00pm Closed / 9:30am -1:00pm Closed Time slot used for Swimming Lessons / 9:30am -1:00pm Closed Time slot used for Swimming Lessons / 9:30am -1:00pm Closed Time slot used for Swimming Lessons / 9:30am -1:00pm Closed Time slot used for Swimming Lessons / 9:30am -1:00pm Closed Time slot used for Swimming Lessons / 10:00am-1:00pm Closed
1:00pm-5:00pm Open Swim / 1:00pm-5:00pm Open Swim / 1:00pm-5:00pm Open Swim / 1:00pm-5:00pm Open Swim / 1:00pm-5:00pm Open Swim / 1:00pm-5:00pm Open Swim / 1:00pm-5:00pm Open Swim
5:00-7:00pm Closed / 5:00pm-7:00pm Water Walking, Lap Swim & Water Aerobics / 5:00pm-7:00pm Water Walking & Lap Swim / 5:00pm-7:00pm Water Walking, Lap Swim & Water Aerobics / 5:00pm-7:00pm Water Walking & Lap Swim / 5:00pm-7:00pm Water Walking, Lap Swim & Water Aerobics / 5:00-7:00pm Closed
7:00pm-9:00pm Open Swim / 7:00pm-9:00pm Open Swim / 7:00pm-9:00pm Open Swim / 7:00pm-9:00pm Open Swim / 7:00pm-9:00pm Open Swim / 7:00pm-9:00pm Open Swim / 7:00pm-9:00pm Open Swim