2016 Encino Park Swim Lesson Registration Form

2016 Encino Park Swim Lesson Registration Form

Provided by FromSink2Swim, LLC.

Check#_____ *Credit Card (+$3.50 fee) _____Date Received: ______

Payments are due at time of registration.

Please make checks payable to FromSink2Swim. *Credit Card only accepted at registration date.

Please select: Resident $100.00______Non-Resident $120.00______

Please CIRCLE a session AND a class time.

Session Morning Classes Evening Classes

Session 1: 10:50-11:20 8:00-8:30

*June 7-June 10, June 13-June 1611:25-11:55

*Lessons are Tuesday-Friday the first week due to a swim meet on June 6th.

Session 2: 10:50-11:20 8:00-8:30

June 20-June 23, June 27-June 3011:25-11:55

Session 3: 10:50-11:20 8:00-8:30

July 5-July 8, July 11-July 1411:25-11:55

*Lessons are Tuesday-Friday week one due to July 4th holiday.

Session 4: 10:50-11:20 8:00-8:30

July 18-July 21, July 25-July 2811:25-11:55

Session 5: 10:50-11:20 8:00-8:30

Aug 1-Aug 4, Aug 8-Aug 1111:25-11:55

*Students must be at least 2 years of age as of January 1, 2016. Classes and times are on a first come first serve basis. Class limit will be 4 students maximum per instructor. Forms may be turned in earlier than the registration date. Make up days due to inclement weather will be notified by email/phone. We will make every effort to make up the lesson; however, there is no guarantee. No refunds unless approved by From Sink2Swim manager.

Registration dates: Session 1: Saturday, May 21, 2016 12:00-2:00 @ the EP Pool

Session 2: Saturday, June 11, 2016 12:00-2:00 @ the EP Pool

Session 3: Saturday, June 25, 2016 12:00-2:00 @ the EP Pool

Session 4: Saturday, July 9, 2016 12:00-2:00 @ the EP Pool

Session 5: Saturday, July 23, 2016 12:00-2:00 @ the EP Pool

Please complete the following: One form per child and one form per session.Please turn into the HOA office at the Community Center drop box or at the pool during registration dates.You may also mail forms with check attached to:

From Sink2Swim at P.O. Box 592327 San Antonio, Texas 78259.

Student’s Name ______Parent’s Name ______

AGE _____Address______*E-Mail______

Home Phone ______Cell Phone______

RELEASE FORM LIABILITY:My child is currentlyin good physical condition and can participate in the swim lesson program unless prior written notification is delivered to the Encino Park Homeowner’s Association and From Sink2Swim. Should any illness or accident occur to my child during swim lesson activities (including travel), I hereby, and in advance, waive, release, and discharge any rights and claims for damages which child, parent, or guardian may have against the Encino Park Homeowner’s Association, the Encino Park Board of Directors, the instructors and staff of FromSink2Swim, LLC. I authorize any emergency treatment and agree to be responsible financially for charges thereof.

Parent’s Signature______Date______