Swim Team Registration Request Form

Participant Information

Swimmers Name*

First Last

Date of Birth*

Age

Gender:*

Swimmer is a:*

Parent is a:*

Session Dates*

Select One

Contact Name*

First Last

Email*

Phone*

Address*

Street Address Address Line 2 City State ZIP Code

Emergency Contact Person*

Emergency Contact Phone*

Comments

Enrollment Procedures

Submitting this form is confirming your request for the swimmers enrollment into lessons and all indicated session dates.
Request forms will be sorted by when recieved as well as by Member and Non-member.
Participants will receive payment receipt and email confirmation upon enrollment.
Enrollment to the Swim Team does not give a non-member swimmer, or their family, access to any other areas of the Cub including the exercise facility, sauna, steam room or member locker rooms. Non-member swimmers are to use the changing areas and showers located in the aquatic center.

Cancellation and Refunds

Cancellation or un-enrollment from future sessions or classes must be received by email.
Once monthly session started there will be no refunds or make-up classes.

Monthly Billing

Billing is monthly and will occur during the first week of each month. Once enrolled, billing will be continuous unless written notification is received prior to the first of the month. Our Swim Team is often full with some groups having a waitlist of swimmers. If a swimmer would like to take a particular month off, this needs to be received in writing prior to the first of the month. Keep in mind, taking time off will allow us to fill the space by a swimmer who may be on the wait list.

I understand that this is a registration request form and my enrollment is not complete.

I accept full responsibility for my child’s use of any and all apparatus, appliances or facility privilege or service whatsoever, owned and operated by Columbia Athletic Clubs at their own risk and shall hold the Club, its shareholders, directors, officers, employees, representatives, and agents harmless from any and all loss, claim, injury damage or liability sustained or incurred by my child resulting therefrom.

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