TWIN RIVER CLUB
Swimming Lesson Sign-Up form
Email address *
Childs Name *
Your answer
Childs Name *
Your answer
Childs Name *
Your answer
Childs Name *
Your answer
Age(s) *
Your answer
Swimming Level (1-6) *
Your answer
Phone Number *
Your answer
Session *
Class Time (Levels 1-3 30min. Levels 4-6 45 Min.) *
Type of Lesson *
Any questions or concerns we should know of? *
Your answer
I/We, the parent/guardian of "NAMED CHILD" , (DOB respectively) realize that his/her participation in swimming lessons is voluntary and involves certain risks that could result in injury to him/her.I understand that the assistant instructors, although well qualified to teach my child swimming lessons, are not specifically trained as swim instructors.With the above understanding I hereby declare that I will not hold, Twin River Club, Wichita Aqua Schocks and their agent Tonya Blattner, and the assistant instructors responsible or liable for any injury or damages my child may receive while participating in swim lessons. By signing this Waiver and Release, I hereby acknowledge that I have read and agree to comply with all of the above. *
Your answer
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