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Pine Lake 2-Week Intensive Lesson Registration
Columbia Athletic Club
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Pine Lake 2-Week Intensive 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 Dates
Session 1: June 26 – July 6 (7 classes - no class July 4)
Session 2: July 10 – 20 (8 classes)
Session 3: July 24 – August 3 (8 classes)
Session 4: August 7 – 17 (8 classes)
Session 5: August 21 – 31 (8 Classes)
Select all sessions you wish to enroll for:
Skill Level
Level 1
Level 2
Level 2/3
Level 3
Level 4
Level 5
Level 6
Unknown
Select One
Session Times
9am
9:40am
11am
11:40am
Select all the times you are available for:
Session Times
9am
9:40am
11:00am
11:40am
Select all the times you are available for:
Session Times
10:20am
12:20pm
Select all the times you are available for:
Session Times
9:40am
11am
11:40am
Select all the times you are available for:
Session Times
9am
10:20am
11:40am
Select all the times you are available for:
Session Times
9am
11am
12:20pm
Select all the times you are available for:
Session Times
10:20am
12:20pm
Select all the times you are available for:
Contact Information
Contact Name
*
First
Last
Email
*
Phone
*
Address
*
Street Address
Address Line 2
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*
Comments
Policies and Procedures
Enrollment Procedures
Each session is Mon. - Thurs. for 2 weeks. Each class is 30min.
Submitting this form is confirming your request for the swimmers enrollment into lessons and all indicated session dates.
Request forms will be sorted by when recieved as well as by Member and Non-member.
Member enrollment process for Session 1 will start June 3 - 5.
Non-member enrollment enrollment process for Session 1 will start June 6 - 9.
Communication will go out to all other session enrollment requests by mid-June.
When swimmer advances Level staff will try to keep similar enrollment times.
Payment Procedures
Payment will be processed the week prior to each swim session.
An email confirmation will follow enrollment and payment.
Members will receive payment receipt and email confirmation with class Level and time for session 1 by end of day June 5.
Non-members will receive payment receipt and email confirmation with class Level and time for Session 1 by end of day June 9.
Those placed on a waitlist do not receive email confirmation.
All future session will be billed the Friday before new session.
Cancellation and Refunds
Cancellation or un-enrollment from future sessions or classes must be received by email.
Once session started there will be no refunds.
*
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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