Swim Lesson Form All Locations Update

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SWIM LESSON REGISTRATION

(TO BE COMPLETED BY PARENT/GUARDIAN)

(One form per child please unless for Semi Private Two Swimmer group rate)

Private Lessons and Semi Private Group Lessons are available with our certified staff. Please indicate your choice below.
After Registration, one of our Water Safety Instructors will be in contact with you to discuss preferred dates and times for swim lessons

Private Lessons (Any Age, Any time): 6 Lessons for $210:
Lessons scheduled at your convenience

Semi-Private Lessons (2 Swimmers/1 Instructor): 6 Lessons for $240: Must sign-up both participants together
Lessons scheduled at your convenience

Parent and Tot Swim Lesson (3 lessons for ages 3 and under) $60
Aberdeen Location Only, set times at 9-9:30AM or 6:30-7PM

* Indicates required field

#1 Swimmer's Name *

First

Last

#1 Swimmer Date of Birth 00/00/0000 *

#2 Swimmer's Name ( 2 Person Semi-Private Rate) (Optional) *

First

Last

#2 Swimmer Date of Birth 00/00/0000 *

Location *

Aberdeen Celestina Cimarrone Fleming Island Plantation Kernan Forest North Hampton South Hampton St Johns Forest The Woods Private Venue

Session Type *

Private Lessons (Scheduled at your convenience) $210 Semi Private Lessons ( 2 Swimmers Required Group Rate) $240 Parent and Tot Swim Lesson (Aberdeen Location Only)(3 lessons for ages 3 and under) $60

Parent / Guardian Name *

First

Last

Email *

Phone Number *

Address *

Line 1

Line 2

City

State

Zip Code

Country

List any Allergies/Health Issues/Parental Requirements *

Youth (under the age of 18): I (the Parent/Guardian), do hereby grant permission for my child(ren) (under the age of 18) to participate in the above program. Further, I agree to observe all the rules and regulations of Elite Amenities at all times. I am aware that my child(ren) will be in the pool. Elite Amenities employees or volunteers, will not be held responsible for any accidents or injuries occurring during swim lessons. Elite Amenities employees or volunteers will not be held responsible for lost, damages, or stolen items. By signing this waiver, I authorize the staff of Elite Amenities to provide first aid should my child(ren) get a minor injuring during swim lessons. I further authorize the staff to contact “911” prior to contacting me in the event of an emergency. (Parent/legal guardian will be contacted immediately after 911 is contacted.) *

I Agree

You understand the policy that classes will be cancelled due to heavy rain or lightning and understand the policy that classes will be held as usual during light rain *

I Agree

You understand the policy that cancellation due to medical excuse requires a doctor's note *

I Agree

You understand that payment is due in full at the time of registration. Payment can be made online *

I Agree

Submit

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Contact info

St. Johns, FL 32259
904.710.0172
[email protected]