Swim Registration Waiver

Swim Lessons Registration
Liability & Waiver

PARENT NAME (first & last)

Phone

Address, City, State, Zip

CHILD NAME (first & last)

Swim Lessons

Swim Strokes

AGE OF CHILD & brief description of child’s swim lesson background

I declare that the info I’ve provided is accurate & complete

PLEASE READ CAREFULLY & UNDERSTAND BEFORE SIGNING. I have read and accept the payment options stated above. I understand that by signing this registration form I am entering into an agreement with EG=MC3, LLC & Megan Andrews and agree to pay for the number of swim lessons indicated above. These lessons will be paid for in full and NO REFUNDS. Make-up lessons are for weather related or instructor related illness/etc. only. Cancellations made by the parents/guardian will be a forfeit of the lesson. Photos/Videos may occasionally be taken at Swim EG=MC3. WAIVER/RELEASE OF LIABILITY PLEASE READ CAREFULLY BEFORE SIGNING. THIS IS A RELEASE OF LIABILITY AND WAIVER OF CERTAIN LEGAL RIGHTS. The enrolled participant and/or the parent/guardian of the participant agree and understand that swimming is a HAZARDOUS activity. I recognize that there are risks inherent in the sport of swimming, including, but not limited to, paralyzing injuries and death. The participant hereby agrees to participate in private or semi-private swim instruction at a facility used by Swim EG=MC3, LLC or at the home/community pool of the participant and hereby agrees to indemnify and hold harmless Swim EG=MC3 LLC, its coaches, officers, directors, agents, facility staff, and employees against any liability resulting from any injury that may occur to the participant while participating in these activities. The participant also agrees to indemnify Swim EG=MC3, LLC & participating facilities for any damages incurred arising from any claims, demand, action or cause of action by the participant. The participant authorizes any representative of Swim EG=MC3, LLC to have the participant treated in any medical emergency during their participation in private or semi-private instruction at a facility used by Swim EG=MC3, LLC or at the home/community pool of the participant. Further, the participant and/or parent/guardian agrees to pay all costs associated with medical care and transportation for the participant. I HAVE CAREFULLY READ THE ABOVE LIABILITY RELEASE AND SIGN IT WITH FULL KNOWLEDGE OF ITS CONTENTS AND SIGNIFICANCE.

Type Full Name

Thank you for registering & letting me be part of your swim safety! Your form has successfully submitted.

Welcome

CRAZY TRAIN

for run, swim, & fitness

to

Swim Lessons Registration
Liability & Waiver

Swim Lessons Registration Liability & Waiver

Swim Lessons Registration
Liability & Waiver