Student Swimming Handbook

STUDENT SWIMMING HANDBOOK

Student Information

Date of Birth:    Student ID:    Grade / Program:

Parent / Guardian Information (if student is minor)

Primary Phone:    Email:

Emergency & Medical Information

Emergency Phone:    Physician Name:

Physician Phone:

Program Details & Participation

Program Name:    Location:

Program Start Date:    Program End Date:

Beginner — requires instructor assistance    Intermediate — comfortable in shallow water    Advanced — swims laps independently

Rules, Safety & Supervision

All participants must comply with pool safety rules, attend the scheduled swim test when required, follow instructor directions, and remain within supervised areas. Lifeguards and instructors have sole authority to remove a participant for unsafe conduct. Parents and guardians are responsible for ensuring the student arrives properly equipped (swimsuit, towel, goggles if desired) and for notifying staff of any limitation that may affect safe participation.

Swim test results and level placements are administrative determinations made for safety. Placement may be adjusted at any time based on observed behavior, stamina, or aquatic competency. Refunds are not provided for removals due to safety noncompliance.

Consent, Waiver & Medical Authorization

I acknowledge that participation in aquatic activities involves risks including, but not limited to, slips, falls, drowning, and other physical injuries. On behalf of myself and the named student, I voluntarily assume all risks associated with participation and agree to release, waive, discharge and covenant not to sue the school, pool operator, instructors, employees, volunteers and agents (collectively the Program Parties) from any and all liability for personal injury, property damage, wrongful death, or other loss arising out of participation, whether caused by negligence of the Program Parties or otherwise, to the fullest extent permitted by law.

I further agree to indemnify and hold harmless the Program Parties from any claim, demand, loss, or expense (including reasonable attorneys' fees) arising out of the student's conduct or failure to follow program rules.

In the event of an emergency, I authorize staff to obtain or administer emergency medical care and transportation for the student. I understand that I am financially responsible for costs incurred for such treatment or transport.

Media Release

I grant permission for the Program Parties to take and use photographs, video, or audio recordings of the student for educational, promotional, or archival purposes, subject to the following selection.

I CONSENT to use of media featuring the student.    I DO NOT CONSENT to use of media featuring the student.

Discipline & Code of Conduct

Students are expected to behave in a manner consistent with safety rules and respect for staff and peers. Repeated or serious violations, including unsafe conduct in the pool area, may result in temporary suspension or permanent removal from the program. No refunds will be issued for removals that are disciplinary in nature.

Acknowledgment & Required Consents

By checking the boxes below I acknowledge that I have read and understand this Student Swimming Handbook and agree to abide by the policies stated herein.

I have received and read the Student Swimming Handbook and will ensure the student complies with its terms.

I acknowledge and assume the risks associated with aquatic activities and consent to the waiver, release and indemnity provisions above.

I authorize emergency medical treatment for the student as described above.

Certification

I certify that the information provided in this handbook acknowledgment is true and complete to the best of my knowledge. I understand that providing false information may jeopardize participation. I further certify that I have authority to execute this document on behalf of the student named above.

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