This Swim Lesson Agreement is between Dekalb Aquatics (“DAQ”) and the Parent/Guardian identified below.
Parent’s/Guardian’s Full Name
Street Address
City, State, Zip Code
Home Phone Cellular Phone
E-mail Address
Emergency Contact
Work Phone Lesson Fee Private Lesson $15/ half hour
Swimmer’s Full Name
Male/Female Date of Birth Age
Behavior Policies
1. DAQ Coaching Staff are professionals and Parents/Guardians and Swimmers must treat them as professionals. Failure to do so may result in cancelation of the lesson. Parents/ Guardians must remain at the pool during a Swimmer’s swim lesson.
2. A lesson may be canceled upon at least 12 hours notice at no charge. Any cancelation of a lesson within 12 hours of the lesson, or a no-show will require full payment for that Swimmer’s lesson.
3. Host Facilities, i.e., Agnes Scott and Bransby YMCA, must be respected at all times! Access to the building is granted to the swimming facilities and stands ONLY. All other areas are strictly off limits (e.g., lounge area, lobby, work-out equipment, phones) Enter through the locker room only – please DO NOT use the emergency doors to enter or exit.
Legal Terms
1. I certify that the Swimmer is in good health and able to participate in DAQ activities. I hereby acknowledge that, as with all sports, there is a risk of personal injury involved in swimming. I further acknowledge that all activities, exercises, and courses of instruction provided by DAQ are taken at the Swimmer’s own risk. Participation in a DAQ activity may cause physical strain and possible muscle soreness. If the Swimmer’s physician has recommended that the Swimmer avoid strenuous activity or limit activity in any way, or if the Swimmer has any medical or coronary history that may be aggravated by the physical activities of DAQ activities, that it is my responsibility to determine with the Swimmer’s physician whether the Swimmer may participate in any given DAQ activity.
2. I hereby agree on behalf of myself and Swimmer to waive, release, and forever discharge DAQ and any and all affiliated organizations or companies, their directors, officers, shareholders, employees, agents, sponsors, vendors, instructors, coaches, supervisors and representatives, including volunteers (collectively “Releasees”), from any and all rights, responsibilities, liabilities, losses, damages, expenses, and costs which may be asserted by me or the Swimmer, or on behalf of the Swimmer, arising from or relating to participation in DAQ activities. I hereby agree to indemnify, defend and hold harmless Releasees from any and all liabilities, injuries, damages, lawsuits, costs (including attorneys’ fees) and claims, including negligence, which may be asserted arising from or relating to my participation or the Swimmer’s participation in DAQ activities.
3. I hereby grant DAQ permission to seek medical treatment for Swimmer in the event of an injury or emergency.
4. I acknowledge that DAQ is not responsible for who picks up the Swimmer from DAQ activities.
5. I assume all risks and hazards incidental to participation in a DAQ activity including transportation to and from the activities.
6. I authorize and give my full consent to DAQ to use the Swimmer’s name, voice, sound, likeness, and/or similar characteristics in any form or medium for the purpose of promoting and marketing its activities with third parties, any highlights, or for sale, without limitations, reservation or further prior written consent.
7. I agree that DAQ will not be held responsible for lost, stolen, or damaged items.
The Agreement will become effective when signed and will continue as long as swim lessons are provided. No supplement, modification, or amendment of this Agreement shall be binding unless executed in writing by authorized representatives of both parties. I have read, understand and agree to these terms.
Signature:
Name: Date: