GROUP Swim Lesson Registration

Which Group is Right For Me?

THE MINNOW GROUP
If the student… Is afraid of water… Can’t swim at all…. Will not get face wet….

THE GOLDFISH GROUP
If the student… Can’t swim without support but loves the water… Will get face wet… Will jump in…

THE SEAL GROUP
If the student… Is not afraid… Can float on front and back… Can jump in and return to surface…

THE DOLPHIN GROUP
If the student… Can swim underwater or on the surface, and can get an occasional breath…

THE SHARK GROUP
If the student… Can tread water for at least 15 seconds… Can swim freestyle with rotary (side) breathing…

Swim Lesson Registration- Group Lessons

Date Submitted*
MM slash DD slash YYYY
Choose Location / Course*
For which session(s) are you registering?*
- Session 1: June 10- June 28
- Session 2: July 8- July 26
- Sessions 1 & 2
- HW Saturday session June 15-July 27; no lesson July 6
PLEASE READ FOR DETAILS: Lessons are held the hour before the community pool opens. As the groups form the week prior to session start date, we will notify you what half hour, your participant will be in, via email or text. We will fill the half hour right before the pool opens first. --------- Lesson days are by community: Ashwood- M/W; Cambridge Lakes- T/TH ; Highland Woods - T/TH; Southbury- T/TH; Tanglewood- M/W; Tall Grass- M/W; White Eagle Golf Club- T/TH White Eagle Homeowners- T/TH ------ Saturday session (Highland Woods only): June 15-July 26 (no lesson July 6)
Parent Name (s)*
Student Name*
First Last
Student's Age*
Group Selection for Student*
- Minnow Group-student is afraid of water, can't swim, will not get face wet
- Goldfish Group- student is not afraid, needs support while swimming, will get face wet
- Seal Group- student can float on front & back, can jump in and return to surface
- Dolphin Group- student can swim underwater and on surface
- Shark Group- student is starting to swim strokes and can tread water
We attempt to place students in a group in which they will learn at a comfortable pace but will be challenged. Groups are formed based on age and skill level of registrants.
Address
Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Country
Email*

This email will be used to communicate prior to the start of lessons.
Parent or caregiver's phone*
This number will be used to notify of cancellations due to inclement weather via text.
Emergency Contact Name if different from parent listed
Emergency Contact Phone
Does the student require special needs?
- Yes
- No
Group Lessons - Course Fees*
Total
$0.00
Credit Card

American Express
Discover
MasterCard
Visa
Supported Credit Cards: American Express, Discover, MasterCard, Visa
Card Number Expiration Date Security Code Cardholder Name
• I understand that Tall Grass of Naperville requires all parents/caregivers to remain at the pool during a child’s swim lessons.

• I understand that registering reserves a spot in the swim lesson program. Because space is limited and instructors contracted, cancellations cannot be refunded.

• I understand that missed lessons cannot be made up, and refunds are not issued.

• I understand that I and/or my child may be photographed and/or filmed while participating in Clear Water Pools LLC programs and that the photographs or video images may appear in marketing or educational materials.

• I agree to assume all liability for my child/children while attending any program managed by Clear Water Pools LLC for Tall Grass of Naperville.

• I further agree to hold harmless Clear Water Pools LLC or any of its officers, agents, employees or assigns for any complications or injury that may result to my child/children or to me while at the Tall Grass of Naperville.

• I understand that the Tall Grass of Naperville and Clear Water Pools LLC reserve the right to cancel any program and to change fees where applicable.

• I agree to adhere to Tall Grass of Naperville pool rules, policies and procedures.
• I understand that South Pointe Swim Club requires all parents/caregivers to remain at the pool during a child’s swim lessons.

• I understand that registering reserves a spot in the swim lesson program. Because space is limited and instructors contracted, cancellations cannot be refunded.

• I understand that missed lessons cannot be made up, and refunds are not issued.

• I understand that I and/or my child may be photographed and/or filmed while participating in Clear Water Pools LLC programs and that the photographs or video images may appear in marketing or educational materials.

• I agree to assume all liability for my child/children while attending any program managed by Clear Water Pools LLC for South Pointe Swim Club.

• I further agree to hold harmless Clear Water Pools LLC or any of its officers, agents, employees or assigns for any complications or injury that may result to my child/children or to me while at the South Pointe Swim Club.

• I understand that the South Pointe Swim Club and Clear Water Pools LLC reserve the right to cancel any program and to change fees where applicable.

• I agree to adhere to South Pointe Swim Club pool rules, policies and procedures.
• I understand that White Eagle of Naperville/Aurora requires all parents/caregivers to remain at the pool during a child’s swim lessons.

• I understand that registering reserves a spot in the swim lesson program. Because space is limited and instructors contracted, cancellations cannot be refunded.

• I understand that missed lessons cannot be made up, and refunds are not issued.

• I understand that I and/or my child may be photographed and/or filmed while participating in Clear Water Pools LLC programs and that the photographs or video images may appear in marketing or educational materials.

• I agree to assume all liability for my child/children while attending any program managed by Clear Water Pools LLC for White Eagle of Naperville/Aurora.

• I further agree to hold harmless Clear Water Pools LLC or any of its officers, agents, employees or assigns for any complications or injury that may result to my child/children or to me while at the White Eagle of Naperville/Aurora.

• I understand that the White Eagle of Naperville/Aurora and Clear Water Pools LLC reserve the right to cancel any program and to change fees where applicable.

• I agree to adhere to White Eagle of Naperville/Aurora pool rules, policies and procedures.
• I understand that Cambridge Lakes of Pingree Grove requires all parents/caregivers to remain at the pool during a child’s swim lessons.

• I understand that registering reserves a spot in the swim lesson program. Because space is limited and instructors contracted, cancellations cannot be refunded.

• I understand that missed lessons cannot be made up, and refunds are not issued.

• I understand that I and/or my child may be photographed and/or filmed while participating in Clear Water Pools LLC programs and that the photographs or video images may appear in marketing or educational materials.

• I agree to assume all liability for my child/children while attending any program managed by Clear Water Pools LLC for Cambridge Lakes of Pingree Grove.

• I further agree to hold harmless Clear Water Pools LLC or any of its officers, agents, employees or assigns for any complications or injury that may result to my child/children or to me while at the Cambridge Lakes of Pingree Grove.

• I understand that the Cambridge Lakes of Pingree Grove and Clear Water Pools LLC reserve the right to cancel any program and to change fees where applicable.

• I agree to adhere to Cambridge Lakes of Pingree Grove pool rules, policies and procedures.
• I understand that Highland Woods Elgin requires all parents/caregivers to remain at the pool during a child’s swim lessons.

• I understand that registering reserves a spot in the swim lesson program. Because space is limited and instructors contracted, cancellations cannot be refunded.

• I understand that missed lessons cannot be made up, and refunds are not issued.

• I understand that I and/or my child may be photographed and/or filmed while participating in Clear Water Pools LLC programs and that the photographs or video images may appear in marketing or educational materials.

• I agree to assume all liability for my child/children while attending any program managed by Clear Water Pools LLC for Highland Woods Elgin.

• I further agree to hold harmless Clear Water Pools LLC or any of its officers, agents, employees or assigns for any complications or injury that may result to my child/children or to me while at the Highland Woods Elgin.

• I understand that the Highland Woods Elgin and Clear Water Pools LLC reserve the right to cancel any program and to change fees where applicable.

• I agree to adhere to Highland Woods pool rules, policies and procedures.
• I understand that Tanglewood of Batavia requires all parents/caregivers to remain at the pool during a child’s swim lessons.

• I understand that registering reserves a spot in the swim lesson program. Because space is limited and instructors contracted, cancellations cannot be refunded.

• I understand that missed lessons cannot be made up, and refunds are not issued.

• I understand that I and/or my child may be photographed and/or filmed while participating in Clear Water Pools LLC programs and that the photographs or video images may appear in marketing or educational materials.

• I agree to assume all liability for my child/children while attending any program managed by Clear Water Pools LLC for Tanglewood of Batavia.

• I further agree to hold harmless Clear Water Pools LLC or any of its officers, agents, employees or assigns for any complications or injury that may result to my child/children or to me while at the Tanglewood of Batavia.

• I understand that the Tanglewood of Batavia and Clear Water Pools LLC reserve the right to cancel any program and to change fees where applicable.

• I agree to adhere to Tanglewood of Batavia pool rules, policies and procedures.
• I understand that White Eagle Golf Club requires all parents/caregivers to remain at the pool during a child’s swim lessons.

• I understand that registering reserves a spot in the swim lesson program. Because space is limited and instructors contracted, cancellations cannot be refunded.

• I understand that missed lessons cannot be made up, and refunds are not issued.

• I understand that I and/or my child may be photographed and/or filmed while participating in Clear Water Pools LLC programs and that the photographs or video images may appear in marketing or educational materials.

• I agree to assume all liability for my child/children while attending any program managed by Clear Water Pools LLC for White Eagle Golf Club.

• I further agree to hold harmless Clear Water Pools LLC or any of its officers, agents, employees or assigns for any complications or injury that may result to my child/children or to me while at the White Eagle Golf Club.

• I understand that the White Eagle Golf Club and Clear Water Pools LLC reserve the right to cancel any program and to change fees where applicable.

• I agree to adhere to White Eagle Golf Club pool rules, policies and procedures.
• I understand that Southbury of Oswego requires all parents/caregivers to remain at the pool during a child’s swim lessons.

• I understand that registering reserves a spot in the swim lesson program. Because space is limited and instructors contracted, cancellations cannot be refunded.

• I understand that missed lessons cannot be made up, and refunds are not issued.

• I understand that I and/or my child may be photographed and/or filmed while participating in Clear Water Pools LLC programs and that the photographs or video images may appear in marketing or educational materials.

• I agree to assume all liability for my child/children while attending any program managed by Clear Water Pools LLC for Southbury of Oswego.

• I further agree to hold harmless Clear Water Pools LLC or any of its officers, agents, employees or assigns for any complications or injury that may result to my child/children or to me while at the Southbury of Oswego.

• I understand that the Southbury of Oswego and Clear Water Pools LLC reserve the right to cancel any program and to change fees where applicable.

• I agree to adhere to Southbury of Oswego pool rules, policies and procedures.
• I understand that Ashwood of Naperville requires all parents/caregivers to remain at the pool during a child’s swim lessons.

• I understand that registering reserves a spot in the swim lesson program. Because space is limited and instructors contracted, cancellations cannot be refunded.

• I understand that missed lessons cannot be made up, and refunds are not issued.

• I understand that I and/or my child may be photographed and/or filmed while participating in Clear Water Pools LLC programs and that the photographs or video images may appear in marketing or educational materials.

• I agree to assume all liability for my child/children while attending any program managed by Clear Water Pools LLC for Ashwood of Naperville.

• I further agree to hold harmless Clear Water Pools LLC or any of its officers, agents, employees or assigns for any complications or injury that may result to my child/children or to me while at the Ashwood of Naperville.

• I understand that the Ashwood of Naperville and Clear Water Pools LLC reserve the right to cancel any program and to change fees where applicable.

• I agree to adhere to Ashwood of Naperville pool rules, policies and procedures.