Swimspire and Anastasia Fitness Freestyle Stroke Clinic
Swimspire is proud to be hosting a triathlete and adult freestyle stroke clinic in partnership with Anastasia Fitness in the beautiful city of Saint Augustine, Florida.

Our clinic will take place on Sunday, February 5th, 2017 between 10am-12pm in the beautiful two-lane, heated outdoor pool at Anastasia Fitness, located just a few minutes' drive from the beach (1045 Anastasia Boulevard, St Augustine, FL, 32080).

Cost is $45 for Anastasia Fitness members/$60 non-members, including individualized video-based stroke analysis and instructional drills. Pay by PayPal to julia@swimspire.com by Friday February 3rd.

Please complete this form to register for the clinic. Cancellations must be made at least 24 hours prior to the clinic date.

Your answer
Date of Birth
Your answer
Your answer
Your answer
Your answer
Emergency Contact
First and Last Name
Your answer
Emergency Contact Telephone
Please provide the telephone number of your emergency contact person
Your answer
Please indicate your level of swimming
Any medical conditions or injuries we should be aware of?
Your answer
Do you have any current aches and pains while exercising? If yes, describe the body part/muscle.
Your answer
You agree that you are physically fit and able to engage in swimming exercises. You should understand that when participating in any exercise or exercise program, there is the possibility of physical injury. If you engage in this exercise program, you agree that you do so at your own risk, are voluntarily participating in these activities, assume all risk of injury to yourself and agree that Swimspire assume no responsibility for personal injury or property damage sustained by or through participation in this clinic. You agree to immediately discontinue any exercise that causes you pain, severe discomfort, nausea, dizziness, or shortness of breath and consult a medical expert.
Never submit passwords through Google Forms.
This content is neither created nor endorsed by Google. Report Abuse - Terms of Service - Additional Terms