Advanced Aquatics LLC

11948 Turner Road

Hampton, GA 30228

ADVANCEDAQUATICSLLC.COM

770-472-5959

Participant Information

YOU MUST BE A MEMBER OF THE EAGLES BROOKE COMMUNITY ASSOCIATION TO SIGN UP FOR SWIMMING LESSONS!!!!!!!!!!!

Classes will be offered beginning Monday, May 20, 2024

Please note date changes below for Memorial Day holiday weeks. Each lesson will last 35 minutes with an additional 10 minutes of supervised practice time. The classes will be taught by an experienced, certified instructor. Pre-Registration is required. No registration will be accepted after the Thursday prior to class session. No refunds are honored unless canceled one week prior to session date. Times and dates for Private and Semi-Private lessons can be tailored to the participants’ schedule.

Once you have registred for the session, someone from our office will call to schedule the days and times.

Swimmer's First Name *

Swimmer's Last Name *

Age of Swimmer as of June 1, 2024 *

Gender

Birth Date * +

Grade

What is this swimmers swim skill? *

Type of Lesson*** *

Private Lesson

Semi Private lesson

Please Choose a Session *

Registering More than one child? *

Yes

NO

Swimmer's First Name *

Swimmer's Last Name *

Swimmer's age as of June 1, 2024 *

Gender

Birth Date * +

Grade

What is this swimmers swim skill *

Type of Lesson *

Private Lesson

Semi Private

Please Choose a Session *

Registering More than 2 children? *

Yes

NO

Swimme's First Name *

Swimmer's Last Name *

Age of swimmer as of June 1, 2024 *

Gender

Birth Date * +

Grade

What is this swimmers swim skill *

Type of Lesson *

Semi Private

Private

Please Choose a Session *

Household / Adult Primary Contact

Relationship to Participant: *

First Name *

Last Name *

Address 1 *

Address 2

City *

State *

Zip *

Phone *

Alternate Phone

Email Address *

Current Total:

$0.00

TERMS AND CONDITIONS

To register complete this registration form and return with check made payable to Advanced Aquatics or register and make payment online at www.advancedaquaticsllc.com. The form below can also be completed to use a debit/credit card and emailed, faxed or mailed to the address shown above. Participants can range in age from 6 months through adult. Children younger than three will require private lessons with the parent in the water. Prices as follows: Private - $50.00 for 45 minutes. SemiPrivate - $35.00 per student for 45 minutes. Private or semi-private lessons require a minimum of six lessons. No one person learns at the same rate. Each person will be taught the skills at their own pace. SPECIAL NOTE: Children are taught at their own level when training with the instructor. I understand that in the event of an accident, illness or medical emergency, I will be notified. If I cannot be reached by telephone, I authorize any medical treatment (X-rays, examinations, prescription drugs, etc.) deemed necessary by a licensed physician for my child. The undersigned hereby releases and holds harmless Advanced Aquatics, LLC, and Eagle’s Brooke POA against any and all losses, illnesses, injuries, accidents or death to the child participating in any activity with Advanced Aquatics, LLC and/or Eagle’s Brooke POA.

I have read and agree to the above terms and conditions. *

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