Swimmer Name *
Swimmer Name
Parent Name *
Parent Name
Phone *
Phone
Swimmer Age *
Which age group does your swimmer fall in to?
Photo Release *
I understand that photos/videos may be taken at Little Fins. I grant permission to Little Fins and affiliates to take photographs and videos, which may be used for advertising purposes. I agree that such photographs/videos may be used with or without my name for any lawful purpose, including for example, publicity, illustration, advertising, social media and web content. Please let your teacher know whether or not you would like your child's photo posted after they complete a level. Level passing photos will only be posted to Facebook or other media with parental consent.
Waiver/Release of Liability *
This is a release of liability and waiver of certain legal rights. I, the parent/guardian of the listed participant(s) above, agree and understand that swimming is a hazardous activity. I recognize that there are risks inherent in the sport of swimming, including but not limited to paralyzing injuries and death. I hereby agree to allow the participant(s) listed above to participate in swimming activities and swimming classes at Little Fins Swim School. I hereby agree to indemnify and hold harmless Little Fins Swim School, its affiliates, and its teachers and staff from any liability or form of damages that may occur to the participant(s). I hereby agree to indemnify Little Fins Swim School, its affiliates, and its teachers and staff from any damages incurred arising from claims, demand, action or cause of action by participant(s).
Medical Consent *
I hereby authorize any representative of Little Fins Swim School to allow the participants to be treated in a medical emergency during participation at Little Fins Swim School activities or swimming lessons. I further agree to pay all cost associated with medical care and/or transportation for the participant(s).
Payment *
Payment is required at time of registration. You can pay online or by calling 719-344-5328. Your swimmer will not be enrolled in the meet without payment. In the case of cancellation by Little Fins Swim School or you (the swimmer), payment will be credited to another meet/program or refunded in full given 7 days notice prior to meet date.
I HAVE CAREFULLY READ THE ABOVE INFORMATION AND SIGNED IT WITH THE FULL KNOWLEDGE OF ITS CONTENTS AND SIGNIFICANCE. Please type your electronic signature.
Date *
Date