WHS Swim Lesson Registration
**Minimum age is four. All students must be potty trained and not afraid of the water. If you are registering a child (or children) for levels 1-4, please choose a time where indicated. If you are unsure about the level for a child, please check the two levels you are debating between and type your thoughts in the comment/question section at the bottom. Once the form is complete, be sure to submit it; then bring cash or a check to your first swim lesson. You will receive a confirmation email with your time/level and total due.
Email address *
What session are you registering for? *
Required
Parent's First and Last Name(s) *
Your answer
Parent's email(s) *
Your answer
Do you live in or attend District 66? *
Lesson Time (Levels 1-4 only) - Please note that some levels will be full at certain times, and you will be offered a spot on a wait list.
Student (1) First and Last Name *
Your answer
Lesson Level *
Required
Student (2) First and Last Name
Your answer
Lesson Level
Student (3) First and Last Name
Your answer
Lesson Level
Student (4) First and Last Name
Your answer
Lesson Level
Comments/Questions:
Your answer
I certify that I am the parent or legal guardian for the child(ren) I am seeking to enroll, and that I have the authority to sign the waivers below:
MEDICAL WAIVER: I hereby give my permission for any person employed by Westside Community Schools, and any supervisor or swim instructor associated with the Westside High School Aquatics Program, to seek and give appropriate medical attention for our child(ren) in the event of accident, injury, or illness. I agree to be responsible for any and all costs associated with any necessary medical attention and/or treatment. I hereby waive, release and forever discharge Westside Community Schools, along with its employees, board members, agents, volunteers, and all persons providing swim instruction, from all rights and claims for damages, injury, loss to person or property which may be sustained or occur during participation in Westside High School Aquatics activities.  *
Required
LIABILITY WAIVER: By allowing my child(ren) to participate in or be present at swim lessons at the Westside High School Aquatics Program I recognize that there are inherent risks to swimming and swim instruction, and to being present in a pool area regardless of whether in the pool or out, which may or may not be obvious, and which may pose a serious safety threat. I agree to assume all risks of personal injury to my child(ren), whether participating in lessons or attending as a spectator. By signing below I agree to indemnify and hold Westside Community Schools and its employees, board members, agents, volunteers, and all persons providing swim instruction, harmless for any loss, liability, damage, or the cost whatsoever arising out of or related to any loss, damage, or injury to my child(ren) who I’ve requested to participate in this program, as well as those in attendance even if not participating in the Westside High School Aquatics Program.  *
Required
A copy of your responses will be emailed to the address you provided.
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