Registration

Welcome to SwimKids!

The form below may be used to sign a SwimKids Event Waiver OR to register for Swim Lessons/Stealth.

Waivers for SwimKids Events (such as Stealth Dive Clinics and Bring-A-Friend events) have NO FEES.

If registering for classes you will receive an email shortly from noreply@jackrabbittech.com with a copy of your signed waiver, confirmation of your Class Time, and the words "Click here to access your Parent Portal" at the very top. This email is sent automatically for all online registrations and IS NOT YOUR YOUR TOTAL AMOUNT DUE. Once we've reviewed your registration, you will receive a SECOND confirmation email from @swimkids.us detailing all fees, discounts, and the total amount being charged to your card.

For year-round classes, the fee information in the "Enrollment Confirmation" auto-sent email IS NOT YOUR TOTAL AMOUNT DUE because it does not include tuition for next month, and we bill one month in advance. Example: on June 1, fees are posted and paid for July tuition. On July 1, fees are posted and paid for August tuition. When you register for year-round classes your up-front fees will include your annual registration fee (if due), tuition for the month you start (prorated as needed), AND tuition for next month (because we bill one month advance).

If you sign up to start year-round lessons AFTER tuition has been posted for that month, we will post those fees at the time you sign up. The email the system auto-sends for online registrations is not "smart enough" to know to include next month's tuition (or to apply discounts). We have to post those manually after you sign up, which is why we'll send you a SECOND confirmation email.

If you have any questions, please don't hesitate to contact us at (703) 396-7946.

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Welcome to SwimKids Swim School!

THIS FORM IS A GENERAL WAIVER FOR ALL EVENTS AT SWIMKIDS SWIM SCHOOL.

Please sign our online waiver by entering your information, and the names of each of your participating children below.

**Please note: the "start/end dates" on this form are internal and are not the date(s) of the party/event you are attending. Thank you!**

Event:

Start Date/Time:

End Date/Time:

Fee per Student:

Room:

* - denotes required fields

Family Information

	First Name:*	Last Name: *
	Type*
	Home Phone:*	Cell #: Work #:
	Email:*	(Emails are kept confidential)

	Address: *
	City: *	State: * Zip: *
	Emergency Contact Info

Students entered below will be added to your family's account

Additional Information:

Waiver, Release of Liability, and Assumption of Risk

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SWIMKIDS
WAIVER AND RELEASE OF LIABILITY
AND ASSUMPTION OF RISK

I, the undersigned enrolled participant and/or the parent/guardian of the participant (“Participant”) desires to participate in swimming lessons, swim classes, certification classes, swim parties and/or other swim related activities (the “Activities”) offered by ESN Swim School, LLC, a Texas limited liability company d/b/a SwimKids Swim School (the “Company”). In consideration for being permitted by the Company to participate in the Activities, the undersigned agrees to all the terms and conditions set forth in this agreement (this “Agreement”).

ASSUMPTION OF RISK AND WAIVER OF LIABILITY: I AM AWARE AND UNDERSTAND THAT THE ACTIVITIES ARE DANGEROUS AND INVOLVE THE RISK OF SERIOUS INJURY AND/OR DEATH, INCLUDING, WITHOUT LIMITATION, THE RISK OF SERIOUS INJURY AND/OR DEATH, INCLUDING WITHOUT LIMITATION, THE RISK OF DROWNING, BRAIN DAMAGE BY ASPHYXIATION, PARALYZATION, AND INFECTION BY COMMUNICABLE DISEASE (INCLUDING, WITHOUT LIMITATION, COVID-19, HEPATITIS A, B AND C, AND INFLUENZA, AMONG OTHERS). PARTICIPANT, PARENT(S)/GUARDIAN(S), FOR THEMSELVES AND FOR THEIR FAMILIES, HEIRS, EXECUTORS, ESTATES, AND ADMINISTRATORS, VOLUNTARILY AGREE TO ASSUME ALL RISKS INHERENT TO THE ACTIVITIES AND EXPRESSLY WAIVE AND RELEASE ANY AND ALL CLAIMS AGAINST THE COMPANY, OR ITS MEMBERS, MANAGERS, OFFICERS, EMPLOYEES, AGENTS, AFFILIATES, SUCCESSORS AND ASSIGNS (COLLECTIVELY, “RELEASEES”), ARISING IN CONNECTION WITH THE ACTIVITIES, INCLUDING, WITHOUT LIMITATION, CLAIMS OF INJURY OR DEATH ARISING OUT OF OR ATTRIBUTABLE TO THE PARTICIPANT(S) PARTICIPATION IN THE ACTIVITIES, WHETHER ARISING OUT OF THE NEGLIGENCE OF THE COMPANY OR ANY RELEASEES OR OTHERWISE TO THE FULLEST EXTENT ALLOWED BY LAW. I/WE COVENANT NOT TO MAKE OR BRING ANY SUCH CLAIM AGAINST THE COMPANY OR ANY OTHER RELEASEE, AND FOREVER RELEASE, DISCHARGE, INDEMNIFY, AND HOLD THE COMPANY AND ALL OTHER RELEASEES HARMLESS FROM LIABILITY, LOSSES, AND DAMAGES UNDER SUCH CLAIMS, AND ALL EXPENSES (INCLUDING, WITHOUT LIMITATION, ATTORNEYS’ FEES) INCURRED IN DEFENDING ANY SUCH CLAIMS.

MEDICAL CERTIFICATION & RELEASE: I hereby certify that the Participant is in good physical health and has no medical condition(s) that would prevent full participation in the Activities. In the event of any medical emergencies, I authorize any representatives of the Company to take whatever actions such persons deem necessary to have the Participant treated. Further, the Participant and/or parent/guardian agrees to pay all costs associated with medical care for and transportation of the Participant. I have notified the Company in writing of any medical/health problems of which the Company’s staff should be aware prior to participating in the Activities.

I ACKNOWLEDGE AND AGREE (1) THAT I HAVE READ AND UNDERSTOOD ALL OF THE TERMS OF THIS AGREEMENT, (2) THAT I AM ASSUMING THE RISKS ASSOCIATED WITH PARTICIPANT ENGAGING IN THE ACTIVITIES, (3) THAT I AM VOLUNTARILY GIVING UP LEGAL RIGHTS, INCLUDING THE RIGHT TO SUE THE COMPANY, AND (4) TO THE EXECUTION OF THIS AGREEMENT IN AN ELECTRONIC FORMAT AND WILL NOT CLAIM THAT THIS AGREEMENT IS UNENFORCEABLE OR INVALID ON THAT BASIS THAT IT IS BEING ENTERED INTO IN AN ELECTRONIC FORMAT.

I've read the above and agree.

Medical Emergencies

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I've read the above and agree.

Text Messaging

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I've read the above and agree.

Photographs

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I've read the above and agree.

Enter your Full Name: