Burlington (Quality Hotel) Swim Class Registration

Thank you for choosing Atlantis School of Swim. Registration which can be accomplished in 2 easy steps:

1. Submit Form: Please fill out the form below with all relevant information.
2. Payment: Once your registration is received and processed by Atlantis School of Swim staff, you will receive an Email with details regarding e-transfer. Payment is due within 2 business days of your registration being processed. Spots cannot be held after 2 business days. Once payment has been received in full and your registration has been processed, you will receive Email confirmation with the details of your lesson schedule.

Parent/Guardian Information

Full Name:
Address:
City:
Postal Code:
Primary Telephone:
Alternative Telephone:
Email:
..
Have you swam with Atlantis before?
Do you require a swim assessment?
How did you hear about us?

Participant Information

Participant 1 Participant 2 Participant 3
Full Name
Date of Birth
Gender
Last Level Completed
Location
Program
Lession Type
Lesson Length
Day and Time - 1st Choice
2nd Choice
3rd Choice
Comments

Payment Options:

Choice

Permission to use media:

I hereby give permission to Atlantis School of Swim Inc. to use photographs, social media, video tape, sound record and/or film and any other media representation of myself and my family members for promotion and/or advertising. I release Atlantis School of Swim Inc., its officers, directors, volunteers and the staff from any and all responsibility/liability that may arise as a result of the use of such photos/media.
Should you wish to take photographs or video of your child, you will need to obtain permission from Atlantis School of Swim Inc. prior to doing so. This will allow staff to notify clients in your scheduled slot and make accommodations so only your child will be photographed or in the video. Photography and recording is strictly prohibited inside the change areas.
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 facilities, 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.

Cancellation and Refunds and Credits - Once you have registered and committed to a spot there will be no refunds or credits. Please be aware that Atlantis School of Swim Inc. incurs costs as soon as you register for our programs. We pay registration, insurance for each swimmer, sign contracts with coaching staff based on numbers registered and contract and pay rent in advance of your session for pool time with our facilities. Therefore, we regretfully are unable to offer refunds or credits for our swimming programs once registered.

Change Requests - Change requests to switch days/times within the same session may be accommodated, depending on availability and less a $25.00 change fee.

Make-up Classes - Due to limited space and pool time we are unable to accommodate any requests for make-up lessons due to client absence. No monetary refunds will be offered for missed classes.

Pool Closures - In the event of lesson cancellation by Atlantis School of Swim due to unforeseen pool issues/facility closures, we will do our best to re-schedule your lesson that day at an alternate facilty should one be available or extend the session accordingly as approved by the facility. No monetary refunds will be offered for classes missed at the alternate location or if you cannot make the alternative date/time.

Inclement Weather Closures - In the event of lesson cancellation due to inclement weather at our indoor facilities, make-up lessons will only be offered in the event of a facility closure. If the facility remains open and Atlantis School of Swim closes to ensure the safety of clients and staff, then a make-up lesson will not be offered. No monetary refunds will be offered.

DECLARATION OF COMPLIANCE - COVID-19

The novel coronavirus, COVID-19, has been declared a worldwide pandemic by the World Health Organization. Atlantis School of Swim Inc. has put in place preventative measures to reduce the spread of COVID-19; however, it cannot guarantee that you or your child(ren) will not become infected with COVID-19.

By signing this agreement, I the undersigned individual being named above and/or the individual(s) parent/guardian, if the individual(s) is younger than 18 years of age, acknowledge the contagious nature of COVID-19 and voluntarily assume the risk that my child(ren) and I may be exposed to or infected by COVID-19 by attending Atlantis School of Swim Inc. and that such exposure or infection may result in personal injury, illness, permanent disability, and death. I understand that the risk of becoming exposed to or infected by COVID-19 at the Atlantis School of Swim Inc. may result from the actions, omissions, or negligence of myself and others, including, but not limited to Atlantis School of Swim Inc. employees, volunteers, and program participants and their families.

I voluntarily agree to assume all of the foregoing risks and accept sole responsibility for any injury to my child(ren) or myself (including, but not limited to, personal injury, disability, and death), illness, damage, loss, claim, liability, or expense, of any kind, that I or my child(ren) may experience or incur in connection with my child(ren)'s attendance at Atlantis School of Swim Inc. or participation programming ("Claims"). On my behalf, and on behalf of my children, I hereby release, covenant not to sue, discharge, and hold harmless Atlantis School of Swim Inc., its employees, agents, and representatives, of and from the Claims, including all liabilities, claims, actions, damages, costs or expenses of any kind arising out of or relating thereto. I understand and agree that this release includes any Claims based on the actions, omissions, or negligence of Atlantis School of Swim Inc., its employees, agents, and representatives, whether a COVID-19 infection occurs before, during, or after participation in any Atlantis School of Swim Inc. program.

I hereby release and agree to hold Atlantis School of Swim Inc. harmless from, and waive on behalf of myself, the participant, and any personal representatives any and all causes of action, claims, demands, damages, costs, expenses and compensation for damage or loss to myself and/or property that may be caused in connectio with any services received from Atlantis School of Swim Inc. We understand that this release discharges Atlantis School of Swim Inc. and all affiliates from any liability or claim that we, our heirs, or any personal representatives may have against Atlantis School of Swim Inc. with respect to any bodily injury, illness, death, medical treatment, or property damage that may arise from, or in connection to, any services received from Atlantis School of Swim Inc. This liability waiver and release extends to Atlantis School of Swim Inc. all owners,partners, and employees.

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