Swim Lesson Registration Form
Swim Lesson Registration Form
Please complete this form to register for swim lessons.
Personal Information
Name
Age
Address
Phone Number
Emergency Contact Information
Name
Relationship
Phone Number
Lesson Information
Preferred Lesson Type
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Private
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Group
Skill Level
Preferred Day(s)
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Monday
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Tuesday
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Wednesday
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Thursday
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Friday
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Saturday
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Sunday
Preferred Time Slot
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Morning
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Afternoon
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Evening
Medical Information
Known Medical Conditions
Allergies
Payment Information
Payment Method
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Credit Card
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Debit Card
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PayPal
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Check
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Cash
Payment Proof
Consent
I, the undersigned, hereby agree to participate in swim lessons provided by [Your Company Name]. I acknowledge that participation in swim activities involves certain risks, and I voluntarily assume all risks associated with such activities.
I release [Your Company Name], its instructors, and affiliates from any and all liability for injuries, loss, or damage that may arise from my participation in these lessons, except in cases of gross negligence.
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I confirm that I have read, understood, and agree to all terms of participation.
Name:
Date:
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