Swimming Registration for Arbor Swim Club

Swimming Registration for Arbor Swim Club

Participant’s name:______Age:______

Parent/ Guardian’s name:______

Address:______

City:______Zip______

Day phone: ______Evening or cell phone: ______

Who should we call in case of accident? (1) ______

(2) ______(3) ______

Doctor’s name:______Doctor’s number:______

Dentist’s name:______Dentist’s #______

Session ______Date ______

I verify that all of the above information is true and correct, I understand that until the full payment for the session has been paid (check has cleared bank) that my child is not registered and I understand that by registering for this swimming activity that I am releasing Jeanne and Dave Murray from any liability due to injury or death resulting from participation in this aquatic program, including theft of my belongings during the swimming lesson. *The parent or guardian of each child MUST stay during the entire lesson.

Please sign:______

*All guests & children must stay off the pool deck. Only swimming participants may be on the pool deck, and spectators MUST wait on the shaded patio below the pool without interfering with the lesson. Please sign:______*For safety reasons no one is allowed to roam in back yard !

Refunds will not be given for days you miss our scheduled lessons because we are holding a place for you. Any lessons missed due to rain or bad weather/instructor illness/or pool malfunction will be made up on the next Thursday at the same time. Any cancellations must be at least 2 weeks before the session begins to received any refund. No exceptions because we are holding a spot for your child.

Please sign:______

Please call about parking procedures. We are requesting that you park on the side streets and walk down a few houses. (****Please do not park on Harrogate Drive!) Thank you. A $10.00 refund or discount off next session for parents that follow this request.:-)*Drive slowly on our street because there are little children outside at play. Please arrive dressed in your bathing suit, ready to go, as No changing/restroom facilities are available.Please DO NOT BRING SMALL CHILDREN AS SPECATORS(unless you are able to keep them under control and seated right by you. Everyone needs to go to the rest room before arriving for lessons).

Please sign: ______

Payment in FULL needs to be received at least one week before the lesson begins. ______

Please make checks for the full amount payable to Jeanne Murray. Write your child’s name and include this registration form in an envelope and mail to: 6225 Harrogate Drive – Austin, TX 78759. I will call you to confirm when I have received your Completed registration form and check/

Signature of Parent/Legal Guardian or Participant ______/ Date:______

Arbor Swim Club reserves the right to refuse service based on disciplinary, medical, or hygienic reasons.

Hygienic Policy - PLEASE DO NOT FEED YOUR CHILD BEFORE THEIR SWIMMING LESSON.