Thank you for choosing Atlantis School of Swim. We are now pleased to offer on-line registration which can be accomplished in 2 easy steps:

1. Submit Form: Please fill out the form below with all relevant information.
2. Payment: An Email will be sent to you confirming class schedule and providing an web link to online payment. Please follow the link to pay for classes online. Please note that registration is not confirmed until payment is received in Full and there will be no refunds once you have registered for a session.

Parent/Guardian Information

Full Name:
Address:
City:
Postal Code:
Home Telephone:
Business/Mobile Telephone:
Email:

Participant Information

	Participant 1	Participant 2	Participant 3
Given Name
Surame
Birthday
Gender
Last Level Completed
Please indicate any additional information that the school should be aware of concerning your child such as any learning disabilities or medical conditions

Class Selection:

This section contains the class lesson schedules for the Summer, Fall, Winter and Spring sessions. Please refer to the calendar for exact dates and times for these sessions. Please select the Lesson Type, Location, Session and indicate your prefered 2 hour window. For Fall, Winter and Spring sessions, please also indicate your prefered weekday.

Choice	Lesson Type	Location	Session	Preferred Time/Day
First Choice
Second Choice

Payment Options:

Choice

Terms and Conditions:

I agree and understand that there are certain risks or hazards inherent in the participation of swimming lessons. The participant hereby agrees to participate in the Learn to Swim programs provided by Atlantis School of Swim Inc. and hereby agrees to forever release, discharge and to indemnify and save harmless Atlantis School of Swim Inc., its coaches, officers, directors, agents and employees against any liability resulting from any injury that may occur to the participant while participating in the Learn to Swim program. The participant also agrees to indemnify Atlantis School of Swim Inc. for any damages incurred arising from any claims, demand, action or cause of action by the participant. The participant authorizes any representative of the Atlantis School of Swim Inc. to have the participant treated in any medical emergency during their participation in the Learn to Swim program. Further, the participant and or parent/guardian agrees to pay all costs associated with medical care and transportation for the participant. I have noted on this form any medical/health problems the staff should be aware. Atlantis School of Swim Inc. is not responsible for lost or stolen items. There will be no refunds once you have registered for a session. We do not offer make-up classes.

I have read and agree to the Terms and Conditions of the Atlantis School of Swim Inc.