2024 JULY EagleVail Swim School Registration Form

*** CHILD MUST BE REGISTERED BY JUNE 24 ***

Please complete ONE FORM per child.

July 2024 Lessons: Session 2

TUESDAYS and THURSDAYS (Starfish ages 0-2, Seahorses ages 2-3), July 9 - Aug 1, eight half-hour lessons

Class Type Starfish, 10:45am, ages 0-2 (parental participation required): $160 Seahorses, 10:00am, ages 2-3 (parental participation required): $160 Seahorses, 10:45am, ages 2-3 (parental participation required): $160

MONDAYS and WEDNESDAYS (Nemos ages 4-5, Flying Fish ages 6-7), July 8-July 31, eight half-hour lessons

Class Type Nemos, 10:00am, ages 4-5: $160 Nemos, 10:45am, ages 4-5: $160 Flying Fish, 10:00am, ages 6-7: $160 Flying Fish, 10:45am, ages 6-7: $160

SATURDAYS (Seahorses ages 2-3) Class Type

Parents' Names Emergency Contact Information Swimmer's Name Age Physical Street Address Physical City, State, Zip Billing Street Address (if different from physical address) Billing City, State, Zip Cell 1 Cell 2 Email

Photography Release:

I agree to allow the EagleVail Pool to use any photographs of my child taken at the EagleVail Pool or events for promotional purposes (e.g. brochures, website, advertisements, etc.).

Parental signature

Medical and Liability Waiver:

A representative of the EagleVail Pool has my permission to seek emergency medical aid for my child, named above, if necessary. The EagleVail Pool does not provide medical coverage for individual participants. All medical insurance must be provided by parents. I will not hold the EagleVail Pool, Swim School, or the coaching staff liable in case of accident or injury sustained as a result of participation in this program. I understand the risks involved with this activity and know that my child is physically able to participate. I hereby give my consent and approval for my child to participate in this activity. All fees are non-refundable. By signing below, I attest that I have read and understand this release form in its entirety, and agree to all the terms and conditions set forth within.

Parental Signature

Credit Card Information:

Credit Card Type Credit Card Number Expiration Date CVV Code

By checking the 'I Agree' box and entering your name in the Signature Box, you are authorizing EagleVail Swimming Pool to charge your credit card and you understand that there is no guarantee of entry if the pool is at maximum capacity.

'I agree' to the terms and charges. Electronic Signature