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Olympic Way - Summer 2018
The Hamilton Aquatic Club welcomes you to the Olympic Way Program. Please note that registrations are confirmed once full payment is made. This 8 week program will run from July 10 - August 2. Application must be completed in FULL and payment e-transferred to hacsignup@gmail.com within 7 days to secure your spot. The cost is $148 per session plus a Swim Ontario Fee (insurance) of $17.65.

Returning Swimmer: $148
New Swimmer: $165.65 (includes the Swim Ontario Fee)

Note: The Swim Ontario fee is only paid once per year and is valid until August 31, 2018.

MacNab Street YWCA
Tuesday & Thursday 5-6pm - CLASS FULL
Tuesday & Thursday 6-7pm

July 10 & 12
July 17 & 19
July 24 & 26
July 31 & Aug 2

All levels will be offered in all time slots

Email address *
Swimmer First Name *
Your answer
Swimmer Last Name *
Your answer
Swimmer Birth date *
MM
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DD
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YYYY
Age as of January 1, 2018 *
Your answer
Olympic Way Level Recommended (if applicable) *
Tuesday & Thursday
Male/Female *
Home Phone Number *
Your answer
Street Address *
Your answer
City *
Your answer
Postal Code *
Your answer
Parent/Guardian 1 *
Your answer
Parent/Guardian 2 *
Your answer
Allergies, health concerns or medications that the Coach should be aware of? If yes, please explain: *
Your answer
How did you hear about the Olympic Way Program? *
Consent: The swimmers will be supervised and all reasonable safety precautions will be stressed. However, I hereby authorize all coaches, in the event of an emergency to obtain the medical services as required so that my child may undergo medical treatment. In all cases attempts will be made to contact the parents. It is the responsibility of the parent/guardian of each swimmer to have their child checked by their physician to ensure that he/she is physically capable of participating in training and to notify the Club of any health problems that may affect his/her participation in Club activities. *
IDENMITY AND AUTHORIZATION: In consideration of the HAMILTON AQUATIC CLUB specified in this form permitting my/our child to participate in the Club, we hereby promise to indemnify and save harmless the HAMILTON AQUATIC CLUB, its employees and its members from and against all claims , demands, actions and proceedings, by whomever made or brought in respect of any costs, expenses, loss, damage or injury , including death arising by reason of or in connection with my/our child’s participation in the said activities and hereby release and forever discharge the HAMILTON AQUATIC CLUB, its employees and members from and against all claims or demands whatsoever which we, our child, our of his/her heirs, executors, administrators or assigns, can share or may have reason of the provision of the medical care to me/him/her. *
I understand that my swimmers registration is complete once my payment is received by the Hamilton Aquatic Club. Swimmers spot will be held for 7 days upon completion of this form. All payments are to be made by E-transfer. *
Name of person completing this form *
Your answer
Relation to Swimmer *
Your answer
A copy of your responses will be emailed to the address you provided.
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