To Print Registration form: Copy the entire registration form below and paste into Microsoft Word. This is a printer friendly format.

Fill out one registration form per child and return or mail to:

Swim Lessons Registration Form

Return this section of registration five days prior to your session start date .  Registration will not be accepted without payment.  Classes are filled on a first-come, first-serve basis.

Student Name_________________________Member_______Non________

Parents Name_________________________Member_______Non________

Student's Age___________

Have you ever taken lessons here?_____________

Address______________________________________________________

Home Phone #___________________

Work or Cell #___________________

Session Date________________________

Spring Days: M/W     T/Th     Sat.    (Circle One) Summer Mon-Thurs only

Time: 1st Choice______________________

Time: 2nd Choice_____________________

**Your first choice is your lesson time unless otherwise contacted**

Family Discount - If three or more students register for the same

session from the same family, you receive $2 off per student.

Amount paid_______________________

Charge my account_____________________

Read and sign these guidelines below:

1. Students meet on deck promptly at lesson time.
2. Non-members will receive a session card at check-in to enter the club.
3. Students not allowed in hot tub at any time.
4. No refunds given.  Rescheduling available.
5. Make-up day for each session is the last Friday of the session.  Times will be posted the last week of the session.
6. Non-members are not allowed to use the club during lessons.
7. Please follow all posted pool rules.
8. Concerns or questions should be directed to the Aquatic Director or Deck Supervisor, not to coaches during class time - their job is to coach your child.

I accept full responsibility for my use or the use of my child of Apple Athletic Club, its equipment, pool, facilities and services.  I also attest that the user is physically able to undertake any and all physical exercises that they may perform at Apple Athletic Club and agree to hold harmless Apple Athletic Club, its agents, affiliates, and employees from any liability for any claims, injuries, damage, action or cause of action, whatsoever, arising to myself, child or property out of such usage at Apple Athletic Club.

Parent/Guardian signature__________________________________