Swim Lessons 2022 If registering more than one child, you must complete the full form for each child and pay for each child separately. Refresh this page between registrations to receive a new blank form. Contact lessons@glenwoodpool.org if you need more information. "*" indicates required fields Swimmer RegistrationHiddenAcct #Parent Name* First Last Phone*Email* Enter Email Confirm Email Membership Status* Member Nonmember Child Name* First Last Date Of Birth* MM slash DD slash YYYY Swimmer's Skill Level*Pre-beginnerBeginner 1Beginner 2Beginner 3Advanced BeginnerUnknown - pre-screening requiredSession Choice*Session 3 (July 18 to July 29)Time Choice - Session 1*There are no options available for this field.Time Choice - Session 2*There are no options available for this field.Time Choice - Session 3*There are no options available for this field.WaiversWaiver*Assumption of Risk and Waiver of Liability: By signing this agreement, I voluntarily agree on behalf of myself and all members of my family who are unable to give legal consent (“my family”) to assume the risks of my and my family’s participation in activities and use of the property and facilities at Glenwood Recreation Club, Inc. (“Glenwood”). I acknowledge and understand these risks include the possibility of substantial injury, illness, or death, and on behalf of myself and my family I intend to release Glenwood from liability for any loss, damage, theft of personal property, personal injury, illness, or death caused by the negligence of Glenwood’s employees, board members, agents, or representatives. I further agree to abide by all rules and regulations established by Glenwood. I have read and agree to the release.PaymentSubtotal $0.00 Member Discount $0.00 Total Credit Card American ExpressDiscoverMasterCardVisaSupported Credit Cards: American Express, Discover, MasterCard, Visa Card Number Expiration Date Month Month010203040506070809101112 Year Year20232024202520262027202820292030203120322033203420352036203720382039204020412042 Security Code Cardholder Name
