Students Full name Class/
Lesson name
Date of Birth M/D/Y Time and Day
1st Choice / 2nd Choice
**To select a time and day look to the schedule on 400swim.com. The more flexible you are with time and day the more 400 Swim will be able to accommodate you.
1/2
hr
Full
hr
Fee
(Prices and Fees can be found on the registration page of 400swim.com)
Student1
(First Name)(Last Name)
Parent and Tot
Preschool(1-3):
123
Swim Kids(1 to 10)
12345
678910
Advanced:
RookieRangerStar
BrnzStarBrnzMedBrnzCross
Adult:  BeginnerIntermediateAdvanced

(M/D/Y)
Choice1:
Day
Time:
Notes:



Choice2:
Day
Time:
Notes:



Group
Private
Semi-private
Group
Private
Semi-private
Total Cost:

$
Student2
(First Name)(Last Name)
Parent and Tot
Preschool(1-3):
123
Swim Kids(1 to 10)
12345
678910
Advanced:
RookieRangerStar
BrnzStarBrnzMedBrnzCross
Adult:  BeginnerIntermediateAdvanced

(M/D/Y)
Choice1:
Day
Time:
Notes:



Choice2:
Day
Time:
Notes:



Group
Private
Semi-private
Group
Private
Semi-private
Total Cost:

$
Credits/Coupons
Code:
Amount: $
Grand Total
$: 

Release
Release(s) 400 Swim's, its affiliates, associates, directors, officers, agents and employees from all claims and liabilities whatsoever developing from participation in or attendance 400 Swim's current or future programs by the undersigned, the undersigned's child(ren) or any associated spectator(s);

Missed Lesson Policy
NO MAKE-UP LESSON OR OTHER FINANCIAL CREDIT/REFUND WILL BE AVAILABLE in connection with a missed lesson other than if 400 Swim initiates the closing if unexpected occurrences arise e.g. pool fouling.

Refunds/Credits
Acknowledge(s) a credit towards a session of lessons for 400 Swim programs in the next twelve (12) months (following withdrawal) will be available should a student withdraw before the date of the third lesson of the current session. On or after the date of the third lesson of the current session, a credit towards lessons in the next (12) months (but no monetary refund) will be available should a student withdraw.
Cancellation may occur by 400 Swim due to insufficient registration or any other reason, a full refund (without any deduction) will be issued unless another mutually acceptable alternative can be found.

Class Changes
During the session. Change requests must be given by written request. There is no guarantee that a requested change can be made.

400 Swim Policies
Acknowledge(s) that he/she has read, understands and accepts all of 400 Swim's information as outlined:

The rule/health regulation that no food, drink or street shoes are allowed on the pool deck.

NSF Cheques/Declined Credit Card
Acknowledge(s) that a cheque returned due to non-sufficient funds must be replaced immediately with cash or certified cheque covering the full amount owing, together with an additional administrative charge of $35.00.

Program Cancellation

Acknowledge(s) that while 400 Swim tries to balance providing sufficient notice of cancellation and not cancelling a program. Prematurely, 400 Swim reserves the right to cancel any program, in which case a full refund will be issued for any payment previously made.

Termination of participant

Acknowledge(s) that the Directors of 400 Swim reserve the right to terminate the registration of any participant(s) if, in their sole discretion, the Directors determine such termination to be in the best interest of the participant or program;

I assume full responsibility for payment and acknowledge that I've
            (Print name of Parent/Guardian)
read and understood all 400 Swim policies and 400 Swim can rely on all representations made and information given.


(Parent or Legal Guardian, 18 years & older)



Or check box if submitting form online.
By checking box you have read, understood, and agree to the terms stated in the registration from.