SUBSCRIBER FORM

1. Details of Swimmer/Candidate/Applicant: course

Name:______

Date of Birth:______NID No/Birth Certificate No:______

Name of Institute: ______

Class/Position:______Blood Group: ___ Religion:______

Nationality:______Contact No:______

Position of the child in family:______Email:______

Residential Address:______

2. Father’s Details:

Name:______

Occupation:______E-Mail:______

Contract No:______NID No:______

Address:______

3. Mother’s Details:

Name:______

Occupation:______E-Mail:______

Contract No:______NID No:______

Address:______

4. Details of brothers and sisters of the child:

Name:______

Birth Date:______Class:______

Current School Name:______

5.Details of the person to be contacted in case of Emergency:

Person’s Name:______NID No:______

Person’s Mobile:______Relation with Child:______

6. Details of the requirement:

a. 1 photocopy of child’s birth certificate/National ID

b. 1 passport size photographs

RULES & REGULATIONS:

  1. Parents or Guardians must not allow their children to bring any valuable articles such as jewelers,expensive watches, cameras, etc.
  2. Parent/guardian is required to bring their child to Water Polo for an interview on the basis of which admission is made.
  3. Water Polo fees and other charges shall be paid every month in advance by the 05th of each month. No payment shall be reimbursed at any cost whatsoever.
  4. If parents wish to withdraw their child from the regular classes/ course, one month’s notice in writing must be given to the Water Polo Administration.
  5. Parents/Guardians should address any significant improvement to water polo with proper manner. Parents/Guardians shall not be allowed to behave any uninitiated with water polo staff/ member/supervisor.
  6. No person within the Water Polo Area shall behave in such a manner as to jeopardize the safety and health of babies/himself/ herself and others. Such behavior, including abusive or profane language, shall be grounds for expulsion.
  7. Loitering will not be permitted on polo grounds or within any of its facilities.
  8. Running, boisterous or rough play, pushing, acrobatics, dunking, wrestling, offensive or disruptive splashing or yelling, diving or jumping without care and caution, snapping of towels, improper conduct causing undue disturbances on or about the polo area or any acts which would endanger any patron are prohibited.
  9. Smoking and alcohol is not permitted within the Swimming Pool Area. Food and drinks are also not allowed except in designated areas. Please refrain from bringing pets or baby carrier into the Swimming Pool Area.
  10. Spitting, spouting water, blowing nose, urinating or defecating in the polo is prohibited.
  11. No prolonged underwater swimming for time and or distance. Competitive or repetitive breath holding can be deadly and in not permitted. Hyperventilation is absolutely not permitted.
  12. The following rules and regulations have been established for the benefit of all users of the Swimming Pool Area. By using the Polo Area, all persons agree to obey the instructions.
  13. Any person having a skin disease, sore inflamed eyes, cold, nasal or ear discharge, communicable disease or who is wearing any kind of bandage or Band Aid to cover an open (unhealed) wound will not be permitted in the polo. Any person suffering from a known serious medical condition (e.g. heart disease, severe circulation problems, epilepsy or respiratory problems) should seek medical guidance from a doctor before entering the Swimming Pool Area. The staff on duty should be made aware of any such person.
  14. Any adult or child who is experiencing even a mild case of diarrhea may not use the polo. Persons with diarrhea should wait two weeks after symptoms end before returning to the polo. Pathogens of concern may still be shed up to two weeks following the end of symptoms.
  15. Adults use the Swimming Pool Area at their own risk People who have a swimming ability; Children under the age of 16 may use the Polo Area only with consent of their adult guardian. If the children do not have a swimming ability, they must be accompanied by an adult supervisor at all times.
  16. Disabled persons requiring a presence of their guardian may enter the Polo Area only with their guardian.
  17. It is not permitted to use the Swimming Pool Area by:

a. People under the influence of alcohol, drugs or any intoxicated substances

b. People with visible skin damage,

c. People jeopardizing the safety and health of others,

d. People with unacceptable standards of personal hygiene.

e. Children under the age of 4 require water-proof diapers at all times.

f. The Polo Area may be used by children over 16 years old without their guardians’ supervisiononly when a Water Polo staff or the guardian can confirm their acceptable swimming ability.

  1. The Swimming Pool Area users must shower before and after using the Pool.
  2. All patrons within the Pool Area must be attired in swimming apparel. No street clothes are allowed in the poolo. All clothing must be colorfast and lightweight material suitable for swimwear such as Lycra, Spandex or nylon. No outdoor footwear is allowed in the Pool Area
  3. All users of the Polo Area must present an appropriate behavior, good standards of hygiene. Instructions given by the Staff must be followed at all times.
  4. Users not complying with the Rules & Regulations will be removed from the Swimming Pool Area.
  5. Parents or legal guardians for children under the age of 18 are responsible for their children’s damages.
  6. The Water Polo and its Staff are not liable for any accidents occurring within the Pool Area as a consequence of not obliging the Rules & Regulations.
  7. Swim toys, balls and the like may be used at the discretion of the supervisor on duty. Inner tubes, inflatable boats and rafts, or inflatable bathing suits are not permitted. Face masks and snorkels may not be used by children except during approved instructional programs, but, Goggles are permitted.
  8. The user shall be responsible for the full replacement cost of any damages or breakages to the facility, its fittings and contents, and the surrounding grounds.
  9. Neither the staff/member/manager not its servant shall be liable for any loss or damage sustained by the user or any persons, firms or corporations entrusting to or supplying any article or thing to the user by reason of such article or thing being lost, damaged or stolen. The user hereby indemnifies the Water Polo against any claim by any such person in respect of such article or thing.
  1. The user shall at all times indemnify and keep indemnified the Water Polo against all claims, actions, proceedings and demands made by or on behalf of any person entering upon the facility for the purpose or in connection with the user’s business activities in relation to the use, or at the invitation of the user, whether such are in respect of personal injuries or damage to property and howsoever arising whether due to the negligence or any act or omission to the Water Polo, its servants or supervisors or otherwise and the signed Application and Rules & Regulations form, shall be deemed to be sufficient acknowledgment by the agreement/Rules/Regulations to so indemnify the Water Polo.
  2. The user is aware and understands his/her work, health & safety requirements as per the Law of Land, in regards to the hiring/ enjoying/availing such facilities.
  3. It shall be at the discretion of Water Polo to refuse to allow the use of the facility in any case and notwithstanding that the Water Polo may have agreed to the use of the facility or that these conditions may have been accepted and signed with user. The Water Polo has full power, if it sees fit, to cancel such use, and the user hereby agrees to accept the same and to be held to have consented to such cancellation and to have no claim at law or in equity for any loss or damage in consequence thereof.
  4. I undertake to be responsible for the facility and I acknowledge and understand all conditions of use as listed and will ensure the conditions are adhered to.
  5. In the event a dispute arises between the parties in relation to the terms of this Rules & Regulations or performance of either party’s obligations under this Rules & Regulations the responsible person of each party must conduct bonafide negotiations in an effort to resolve the dispute.

______

Father’s SignatureMother’s Signature

DateDate

⃝Membership for 12 months @ Tk60,000/-

⃝Membership for 06 months @ Tk 40,000/-

⃝Membership for 03 months @ Tk 20,000/-

⃝ Family (04 Members) Package for 12 months @ 120000/-

⃝Swimming training course @ Tk.15,000/-

*********Any type of camera strictly restricted during swimming season*********

Note: Please inform the office of any change of address or contact number that has been filled in theadmission form.

FOR OFFICE USE ONLY

Member/TraineeID:______DateOf Admission: ______

Date till Valid:______Remarks: ______

______

Authorized Signature