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Private Swim Request Form @ Gresham - MEMBERS ONLY
Thank you for your interest in our Private Swim Lessons!

By filling out this form, you acknowledge that you are being added to a waitlist and will be contacted as soon as we have an available opening! Typical wait times are one to two months. We understand that not every opening may work for your family and schedule, so we allow for you to pass on booking up to 4 times. After that you will need to resubmit this form and will subsequently be placed back onto the waitlist. Our current waiting time is approximately one month. Once booked for a time spot by our staff, your instructor will then confirm with you and you will be charged for those lessons within 48 hours of confirming that start date.

In order to better serve our Cascade Members, we are currently enrolling MEMBERS ONLY  for our Private and Group Swim Lessons.
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Participant's First and Last Name *
Parent First and Last Name (if enrolling child) *
Phone Number *
Email Address *
Age of Participant *
I have read the pricing information from the website.  If the answer is NO, please review the pricing before submitting this form. I also understand that I must hold a current membership before the start date of my private lessons. *
Release of Liability and Assumption of RiskThe undersigned desires to use the facilities and equipment of Cascade Athletic Club, Inc. (the “Club”) and the related sports, training and other Club services. In partial exchange for the right to use these facilities, services and equipment, I voluntarily agree to this Release of Liability and Assumption of Risk (this “Release”) according to the following terms: 1. I accept the Club’s facilities, services and equipment “as is” and I agree to use these facilities, services and equipment at my own risk. I understand the inherent risks involved in the use of the Club’s facilities, services and equipment and I expressly assume the risks of severe bodily injury, permanent disability, and death. I agree to follow all rules and regulations and to use the Club’s equipment only as indicated and as instructed by the Club’s staff. 2. Prior to participating in any activity at the Club, I will inspect the exercise area and all equipment to be used. If I determine that anything related to this activity appears unsafe, I will immediately advise a Club employee of this condition and will not engage in the activity until the condition has been corrected. Prior to engaging in any activity or exercise, I will confer with my doctor or other healthcare professional to ensure that it safe to do so. 3. I will not hold the Club liable for any injury or damage to my person or property, or that of my family, arising from or related to (a) my use of the Club’s services, facilities and/or any and all equipment located on Club property; (b) the negligent acts or omissions of the Club; or (c) the acts or omissions of other members or guests of the Club. I forever release and discharge the Club from all claims, demands and/or causes of action relating to any such injury or damage. Despite this Release, if I or anyone on my behalf makes a claim against the Club, I will indemnify the Club from any and all litigation costs, attorney fees, damages or other expenses arising from such claim. 4. I consent to emergency medical care and/or transportation in order to obtain treatment in the event of my injury. This Release extends to any liability arising out of or in any way connected with such emergency medical treatment, care and/or transportation. 5. I will not hold the Club liable if my property is lost or stolen. I understand that it is my sole responsibility to ensure that my valuables are secured. I acknowledge that the Club provides lockers with locks for this purpose. 6. The terms of this Release are intended to be as broad and inclusive as Oregon law allows. If any portion of this Release is declared invalid, I agree that all other terms and conditions of this Release shall remain effective. This Release shall be of perpetual duration and shall remain valid and enforceable even after any related membership agreements or other concurrent agreements have expired or been terminated. 7. LICENSE TO USE IMAGE: You hereby grant Cascade Athletic Clubs the right to publish and use your personal image in any and all Club promotional, marketing and advertising materials, such as the Website and publications in print and electronic formats. You agree that you are not entitled to compensation in connection with any such publication or use of your image. Your name will not be used in connection with your image unless you provide express consent. For the purpose of this Release, “Cascade Athletic Clubs”, or the “Club” refers to Cascade Athletic Club, Inc., Fame Real Estate Limited, LLC., MDDS, LLC., MDDS Properties, LLC., their respective owners, subsidiaries, members, agents, officers, directors, employees, contractors, suppliers, vendors, equipment manufacturers, distributors, successors and assigns. I am executing this Release on behalf of myself and my heirs, executors, successors and assigns.Parental/Legal Guardian Consent (for participants under the age of 18) I, the undersigned parent or legal guardian of the child(ren) shown above, have read the above Release and agree to its terms on behalf of my child(ren) and myself. I understand that by signing below, I am giving up substantial rights on behalf of my child(ren) and myself.I have read the above Release, understand its contents, and understand that by signing below, I have given up substantial rights. I consent to be bound by my electronic signature below as of the date electronically submitted. *
I understand that by filling out this form, I am being put onto the waitlist and will be contacted as soon as a spot comes open.  I also understand due to the demand of this service, it may take appx. 2 months to be contacted.   The phone number and/or email listed on the form will be the one used.  Once contacted, you will have 24 hours to respond, or we will need to move to the next person.   I also understand that I have up to 4 times to pass on an offer for private swim lessons before needing to fill out another request form.   *
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