WELCOME
AND
THANK YOU FOR YOUR REGISTRATION
2007 SCHEDULE

PIA MARINE POOL

-Tues & Thurs 3:45-4:30pm Beginner Lessons
(private & semi-private)

-Tues & Thurs 4:30pm - 5:45        Intermediate/Advance
Masters  (Adult)

Saturday AM - TBA $50.00/monthly


Agana Pool

  • Morning Masters
  • UOG Student Class
  • Tu Thrs 6-7am  (tentative)


Andersen Capehart Pool

Mon & Wed. Begins Sept. 5
Group I 3:45-4:45
Group II 4:30-6:00

Saturday 9-10:15
Location varying


ALL STUDENTS:  SATURDAY MORNINGS:
Oceans 101 "Intro to Oceans"
Ypao Beach Park
Check this page for ocean         class schedule.
FAMILY NAME
CHILD NAME
DATE OF BIRTH
CHILD NAME
CHILD NAME
DATE OF BIRTH
DATE OF BIRTH
MAILING ADDRESS
CONTACT NUMBERS
EMAIL ADDRESS
PREVIOUS SWIMMING EXPERIENCE
REASON FOR SWIMMING
ADDITIONAL INFORMATION
(SCHEDULING, ALLERGIES SPECIAL NEEDS ETC.)
ADDITIONAL COMMENTS
Summer Swim School Registration
Form
TO COMPLETE REGISTRATION PLEASE READ AND SUBMIT WAIVER/RELEASE FORM BELOW

Waiver/
Release of Liability

then 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 the Summer Swim School and hereby agrees to indemnify and hold harmless Greater Pacific Aquatics, PIA Marine Hotel, its coaches, officers, directors, agents and employees against any liability resulting from any injury that may occur to the participant while participating in Summer Swim School.  The participant also agrees to indemnify Greater Pacific Aquatics and PIA Marine hotel for any damages incurred arising from any claims, demand, action or cause of action by the participant.

The participant authorizes and representative of Greater Pacific Aquatics to have the participant treated in any medical emergency during their participation in Summer Swim School.  Further, the participant and or/parent guardian agrees to pay all costs associated with medical care and transportation for the participant.

I have noted on the back of this form any medical/health problems of which the staff should be aware.

I have carefully read the above liability release and sign it with full knowledge of its contents and significance



Please read before signing.  This is a release of liability and waiver of certain legal rights



I,
By Submitting this form I hereby adhere to all information included within the waiver/release of liability.