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Pine Lake Group Swim Lesson Registration
Columbia Athletic Club
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Youth Aquatics
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Pine Lake Group Swim Lesson Registration
Participant Information
Swimmers Name
*
First
Last
Date of Birth
*
Month
Day
Year
Age
Gender:
*
Male
Female
Swimmer is a:
*
Member
Non-member
Parent is a:
*
Member
Non-member
Reservation Request For
Session Type
*
Saturdays, October 12 – November 9
Skill Level Weekday
*
Youth Beginner
Select One
Session Days
Tuesday/Thursday, 4:15pm
Please choose all that apply
Session Days
Monday/Wednesday, 4:45pm
Monday/Wednesday, 5:30pm
Tuesday/Thursday, 4:45pm
Please choose all that apply
Session Days
Monday/Wednesday, 6pm
Tuesday/Thursday, 5:30pm
Tuesday/Thursday, 6pm
Please choose all that apply
Session Days
Monday/Wednesday, 5:30pm
Tuesday/Thursday, 4:45pm
Please choose all that apply
Session Days
Monday/Wednesday, 6pm
Tuesday/Thursday, 5:30
Please choose all that apply
Session Days
Monday/Wednesday, 6:30pm
Tuesday/Thursday, 6:30pm
Please choose all that apply
Session Days
Monday/Wedneday, 4:45pm
Tuesday/Thursday, 6pm
Please choose all that apply
Session Days
Tuesday/Thursday, 6:30pm
Please choose all that apply
Skill Level Saturday
*
Level 1
Level 2
Level 2/3
Level 3
Level 4
Level 5
Youth Beginner
Adult Beginner
Adult Intermediate
Parent Tot
Select One
Session Times
9:30am
11:15am
Please choose all that apply
Session Times
9:30am
10:30am
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Session Times
10am
10:30am
11:15am
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Session Times
10:30am
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Session Times
10am
Please choose all that apply
Session Times
10am
11:15am
Please choose all that apply
Session Times
Please choose all that apply
Session Times
9:30am
Please choose all that apply
Session Times
11:45am
Please choose all that apply
Session Times
11:30am
Please choose all that apply
Session Times
11:45am
Please choose all that apply
Session Times
11:45am
Please choose all that apply
Contact Information
Contact Name
*
First
Last
Email
*
Phone
*
Address
*
Street Address
Address Line 2
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Emergency Contact Person
*
Emergency Contact Phone
*
Comments
Policies and Procedures
Enrollment Procedures:
All class registrations requests are online. Please visit www.columbiaathletic.com/Youth Aquatics/Swim Lessons.
Select Level of swimmer and then all days and times that you could attend.
Placement is not confirmed until enrollment has been completed and payment received.
Swimmers need to register for each Session. Members receive priority registration.
Swimmers enrolled in prior session will receive priority registration.
Confirmation of enrollment and payment receipt will be sent within 5 days of registration opening.
Those placed on wait lists will be contacted by email. Should space become available we will call to confirm before enrolling.
Payment Procedures:
Payment will be for the entire session.
There will be no make up classes or refunds once classes have started.
Cancellation and Refunds
Cancellation or un-enrollment from future sessions or classes must be received by email.
There will be no make up classes or refunds once classes have started.
We follow Issaquah School District for all weather-related cancellations.
*
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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