Olympic Way - Summer 2017
The Hamilton Aquatic Club welcomes you to the Olympic Way Program. Please note that registrations are confirmed once full payment is made. This 10 session program will run from July 11- August 17. Application must be completed in FULL and payment e-transferred to admin@hamiltonaquaticclub.ca within 7 days to secure your spot. The cost is $185 per session. If this is your swimmers first session this season, there is also a one time Swim Ontario Fee of $16.65.

Total Cost: $185 (swimmers who have already paid the Swim Ontario Fee)
Total Cost: $201.65 (swimmers who have NOT YET paid the annual Swim Ontario Fee)

Note: The Swim Ontario fee is only paid once per year and is valid until August 31, 2017.

Session will run on Tuesday & Thursday on the following dates at the MacNab Street YWCA:

July 11 & 13
July 18 & 20
July 25 & 27
August 1 & 3
August 15 &17

All classes will be offered in all time slots with the exception of Advanced. Advanced Olympic Way will only run during the 6-7pm time-slot.

Email address *
Swimmer First Name *
Your answer
Swimmer Last Name *
Your answer
Swimmer Birth date *
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Age as of January 1, 2017 *
Your answer
Olympic Way Level Recommended (if applicable) *
Tuesday & Thursday 5-6pm (No Advanced offered during this hour)
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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