Group Swim Lesson Registration Form

(One child per form)

Parent/Guardian: ______Participant: ______
Member Number: ______Birth date: _____/_____/______Gender: F/ M

Any Known Allergy or Medical Issues? Y / N ______

Street Address ______

City ______State: ______Zip Code ______
Home Phone: ______Alternate Number: ______

Email: ______@______

Cancellation Policy:

There will be a $25 cancellation fee on any group lesson session that is cancelled after the participant has enrolled and paid for the program, and cancellation requests must be made in writing.

A participant has until 72 hours before a session begins to cancel out of a group lesson session. After that, the participant is subject to the full amount of the session.

Only in the case of a participant being unable to participate due to a medical reason will a full refund be given at any time. A doctor’s note may be required and classes that have already occurred are non-refundable.

What happens if there is a pool closure?

If the pool closure is less than thirty minutes, the OFJCC lesson program holds the right to run the remainder of lessons on a delayed time schedule. In the event of a pool closure, all lessons with the exception of Water Baby and Water Wiggler classes will be held outside. A credit of one class will be given to those classes. This credit is a credit on the participant’s account and is not refunded to the account. It is useable towards any future group lesson session.

What if my child is in the wrong level?

Every effort will be made to place a child in the correct level. In the event that a child is placed incorrectly, every effort is made to place them in an open, available class. If a correct class is not available, we will teach the child in their existing class at the correct level. Refunds will not be given in these situations.

We reserve the right to cancel or change the level of group lessons with two or fewer participants, and to combine classes with adjacent levels, i.e. a Goby and a Tiger Barb class may be combined in order to not cancel a class.

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By signing this form, I understand that I am bound to these policies and procedures, and I authorize the OFJCC Aquatics Department to charge the credit card that I have put on file.

Payment Options:

Card on File Check (please write the check number): ______Cash

Credit Card : Type of card: ______Number: ______Exp. Date: ____/_____

Security Code ______Name on Card ______

Signature ______

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