Swim Class Registration

Name of Parent 1*

First Last

Phone Parent 1*

Email Parent 1*

Name of Parent 2

First Last

Phone Parent 2

Email Parent 2

Address

Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Country

Student Information

Name of Student

First Last

DOB for Student

Medical Conditions / Alergies / Medication

Policies

Rules, Terms, and Conditions*

Acknowledge

ANNIVERSARY FEE All Students will be charged an anniversary fee. This fee is good for one year or until you drop out of the program. MAKEUP POLICY For the lesson to be excused, please call or email AquatiKids no later than 8am the morning of the lesson to be missed. Contact info: 404- 913-5385 or [email protected]. For private lessons, you may make-up two (2) excused absences. REGISTRATION AND ENROLLMENT AquatiKids does not automatically register your child for additional lessons or groups. Each client must register for every program or set of lessons that they intend to take. CHANGES / CANCELLATION Changes/cancellations must be made 48 hours prior to the first day of class/lessons. All cancellations made after this time will result in a $75.00 cancellation fee for private lessons and a $25 fee for all other programs. WHAT TO WEAR / BRING Please be sure to come prepared! You are required to provide your own towels. We suggest you bring two. All Children under 5 years old are required to wear our snugly fitted reusable, non-disposable cloth swim diapers with a disposable "little swimmer" underneath the non-disposable diaper during lessons. Swimsuits are optional. All children under the age of 5 attending group classes are required to wear a wetsuit. The wetsuits prevent contamination. All children in groups who are not potty trained must also wear both the disposable and non-disposable diaper under their wetsuit. Children in groups who are potty trained may omit the disposable diaper, but must still wear the non-disposable diaper under their wetsuit. Non-disposable swim diapers, ‘little swimmer’ disposable diapers, and wetsuits are available for purchase. $15 for the non-disposable, $2 for the disposable and $32.00 for wetsuits. If your child is not wearing an approved non-disposable diaper, and has an accident in the pool there will be a charge of $500.00 passed on to you. In cases of pool contamination we must close the pool to super shock it and clean it, which means canceling all classes in the above time frame. ARRIVAL Please have your child ready for their scheduled lesson at least 10 minutes in advance. If you are late, we will do our best to fit your child in whenever possible, but realize that your child may have a shortened lesson.

Waiver and Release*

Acknowledge

WAIVER AND RELEASE Please read carefully and be aware that in registering your minor child for participation in this program, you will be waiving and releasing all claims for injuries you or your child might sustain as a result of participation in any class or activity conducted by AquatiKids, LLC. As a parent/guardian of a participant of instruction taught by AquatiKids, LLC, I recognize and acknowledge that there are certain risks associated. I agree to assume full responsibility of any injuries, property damage, or loss, which I, or my minor child, may sustain as a result of participating in any and all activities connected with or associated with AquatiKids, LLC. I agree to hold AquatiKids, LLC and/or the Instructor from any liability resulting from use of the premises and waive and relinquish all claims against AquatiKids, LLC and/or its owner and or operators and/or the Westminster School from any injury that I, or my minor child may sustain as a result of participating in this program.

Billing Authorization*

Acknowledge

I represent and warrant that if I am purchasing something or paying for a service from this facility or from other merchants through this facility that (i) any credit card or bank account draft (ACH Draft) information I supply is true and complete, (ii) charges incurred by me will be honored by my credit card company or financial institution, and (iii) I will pay the charges incurred by me at the posted prices, including any applicable taxes, fees, and penalties. I hereby authorize (if online payment is made or autopay information is provided) this facility to charge my ACH draft, or credit card account. I understand that a 30 day written notice is required to terminate billing and I am responsible for payment whether or not my student attends classes until I notify this facility in writing to drop my student from class(es). Should I dispute a charge through my financial institution this will constitute a breach of contract possibly resulting in, but not limited to, penalties, additional fees, collection, legal action, and/or termination of any and/or all current and future services.