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Olympic Way - Learn to Swim Assessment
Please complete this HAC Assessment Waiver prior to your swimmer's assessment day. All swimmers are required to have a completed waiver before they enter the pool.
Email address *
Swimmers Last Name *
Your answer
Swimmers First Name *
Your answer
Swimmers Date of Birth (Day/Month/Year) *
MM
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DD
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YYYY
Assessment - Please select the date you are registering for. *
Please select a time-slot. *
Phone Number *
Your answer
Street Address *
Your answer
City *
Your answer
Postal Code *
Your answer
Email address *
Your answer
Parent/Guardian Name 1 *
Your answer
Parent/Guardian Name 2 *
Your answer
Date of Assessment *
MM
/
DD
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YYYY
Where did you hear about us? *
I give my child permission to have an assessment completed by the Hamilton Aquatic Club. I understand that there will be a coach in the water with my child assessing their skill level. *
Name of person filling out this form *
Your answer
A copy of your responses will be emailed to the address you provided.
Please complete the captcha before submitting the form.
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