Swim Lesson Registration 2016
Swim Lessons for 2016 will be held over a three week period in June. Each class will be a 30 minutes session for 5 days held in the morning hours on Monday - Friday. All registrations are due before Monday June 6th. Classes and times will be set after registration is complete and class list will be posted on Friday June 10th.
Swimmer Name *
Your answer
Birthdate *
Age *
Your answer
Parent Name *
Your answer
Address *
Your answer
City *
Your answer
Phone Number *
Your answer
Your answer
Swim Lesson Session *
May choose to enter in more than one session.
My child has participated in swim lessons at Lexington Pool in the previous years.
If previous answer is yes, please indicate the level of lesson completed (if known)
Please review the following list and check all skills that your swimmer has mastered.
Consent of Parents or Guardian - I/We, the undersigned parent or legal guardian, do hereby verify the information in this registration form and consent to the participation of my/our child in this activity. I/We understand that neither the Lexington Park District nor any of its commissioners, officers, program directors, sponsors not employees assume responsibility for any injury or damage to person or property resulting from an incident occurring during conduct of the Lexington Park District program including games, meets practices, clinics and other related activities and events. In case of emergency, I/we hereby consent to medical treatment for my/our child and authorize any member of Lexington Park District to sign necessary papers and documents authorizing hospitals and physicians to proceed to render medical care. *
A parent, guardian or babysitter must be present during lesson. The child is not to enter the pool before the lesson has begun and must exit the pool when lesson is completed for safety reasons. *
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