Free Learn To Swim Lesson Application

Program Details: The Carmel Swim Club Free Learn to Swim Lesson Program offers free swim lessons to children in the community who do not already know how to swim.

Requirements: The Free Learn to Swim Program affords each participant the opportunity to sign up for swim lessons during the current registration period. Once enrolled, every effort must be made to ensure the child attends as many lessons as possible. Excessive absences may result in termination from the free program.

Qualifying for the Program: Children must participate in the free or reduced lunch program through Carmel Clay Schools. If a child is not yet in school, children with parents or guardians participating in the Hamilton County rent or utility assistance program may qualify.

To Apply for the Program: Applications for the program should be sent to the address below. Spaces in the Free Program are limited and will be filled using a lottery system. Application must be received by Friday, December16th to participate in the lottery. After that date, applications will be accepted on a first come first served basis until the classes are full. You will be notified prior to the start of swim lessons regarding the status of your application.

Carmel Swim Club, Attn: Free Learn to Swim Lesson Program

300 East Main Street, Suite E, Carmel, Indiana 46032

Parent/Guardian’s Name: ______

Address: ______

Home Phone: ______Cell Phone: ______

Email: ______

Swimmer’s Name: ______Birthday: ______

Qualifying for the Program:

Does child participate in free/reduced school lunch program? Y / N (Please attach letter from school)

If the child is not in school, does the parent/guardian receive rent or utility assistance through

Hamilton County? Y / N (Please provide parent/guardian’s SSN or tax ID ______)

Winter & Spring 2012 Session Dates

(*Unless noted otherwise, sessions are EACH three weeks long

with two classes per week at the Carmel High School Aquatic Center)

Session 1: Jan. 10-26, Tues. & Thurs. evenings, 7:00-7:30pm

(Jan. 10, 12, 17, 19, 24, 26)

Session 2: Feb. 7-23, Tues. & Thurs. evenings, 7:00-7:30pm

(Feb. 7, 9, 14, 16, 21, 23)

Session 3: March 6–29, Tues. & Thurs. evenings, 7:00-7:30pm

(March 6, 8, 13, 15, 20, 22, 27, 29 - * 4 week session = 8 classes)

Session 4: April 10-26, Tues. & Thurs. evenings, 7:00-7:30pm

(April 10, 12, 17, 19, 24, 26)

Session 5: May 1-May 17, Tues. & Thurs. evenings, 7:00-7:30pm

(May 1, 3, 8, 10, 15, 17)

Please circle each session your child plans to attend.

Session 1 Session 2 Session 3 Session 4 Session 5