Lifestyle Swim School – 2020 Application and Waiver Form

Submission of this online Registration Form constitutes acceptance of the terms and conditions of registering your child / children with the Lifestyle Swimming School Programs. If you are enrolling three or four children please fill the form out two times. For a printable form to complete and mail with Check, please click here.

For your convenience we have placed a copy of the 2020 summer schedule below the registration form, so that you can refer it.

To ensure your child’s spot in class, all fees and paper work must be completed before child will be placed on the class roster. This registration form will be processed once payment is received.

I/We agree to defend, pay and save free and harmless Lifestyle Swim School, Inc., the facility owners where lessons are conducted and their respective agents, employees’ actions, judgments and proceedings of any kind or in favor of anyone whomsoever and from and against all injury or property damage arising directly or indirectly out of, from or on account of applicant’s presence at or use of the facilities or participation in any activities or programs applied for hereby or at any time hereafter.

My / Our child (children) has been examined by a certified physician within the last year and is physically fit to participate in swim lessons. He or she is free from any contagious disease.

I / We understand missed classes may not be carried over the next session. I understand that the Lifestyle Swim School is unable to grant refunds. We reserve the right to: accept only those families who abide by our patient child-centered philosophy; to expel those families that do not abide by the philosophy, fail to follow rules, use foul language, or are disrespectful to teachers, staff or fellow classmates.

By writing our name here, we agree with and will abide by the release form above, Mother & Father (or Partners) First & Last names.*
*

Main Email Address
*

Website Address

Address line 1

City

State

Zip Code

Home Phone / s

Mobile Phone / s

Father’s Profession

Father’s Business / Workplace Name

Father’s Work Phone

Mother’s Profession

Mother’s Business / Workplace Name

Mother’s Work Phone

Child #1

1. Child’s Name

1. Child’s Age & Date Of Birth

1. Child’s water experience / skills / level (brief description please)

1. Class name

1. Session number/Session date

1. Days/class time/location

1. CLASS fee

Please note any special conditions, needs, health concerns or allergies we need to be aware of during swim sessions

How did you hear about us?

How you will be making payment. Credit card on Paypal, Paypal, check or cash.

Name of person or business making actual payment.

Child #2

2. Child’s Name

2. Child’s Age & Date Of Birth

2. Child’s water experience / skills / level (brief description please)

2. Class name

2. Session number/Session date

2. Days/class time/location

2. CLASS fee

Please note any special conditions, needs, health concerns or allergies we need to be aware of during swim sessions

If you are human, leave this field blank.

Sending

Spring-Summer Schedule 2020

This year we are teaching week-ends only

Each session 2 x per week for 7 week sessions

Infants/Toddler and Tyke Schedule and Preschool and Elementary

Week-end classes are held at the AD Henderson School

Session Dates:

SESSION I A	May 2-June 14
BREAK WEEK	June 15-June 26
SESSION II A	June 27-August 9 (no class July 4th)
BREAK WEEK	August 10-August 21
SESSION III A	August 22-Oct 4

	“Go slow, enjoy the journey, have fun, the pay off is for life”. Rob McKay

2 x per week: SATURDAY and SUNDAY morning each session runs 7 weeks

Week-end classes are held at the AD Henderson School


9:30-9:55 am	Water Adjustment & Basic Skills	3 months-14 mon.	A.D. Henderson
10:00-10:25 am	Water Adjustment & Basic Skills	15 months-5 years	A.D. Henderson
10:30-10:55 am	Safety Techniques I	10 months-4 years	A.D. Henderson
11:00-11:25 am	Safety Techniques II	19 months-4 years	A.D. Henderson
11:30-11:55 am	Adv Safety, Water Tykes	2 1/2 years-4 years	A.D. Henderson
12:00 noon	Stroke class (Session IIA only)	Ages 5-12	A.D. Henderson

See you at the pool,

Rob and Kathy

Registration Form 2020

Child #1

Child #2

Spring-Summer Schedule 2020

This year we are teaching week-ends only

Each session 2 x per week for 7 week sessions

Week-end classes are held at the AD Henderson School