Registration

Registration

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We look forward to having you Splash & Play with us! This Easter Egg Dive registration is for the Baton Rouge Swim School located at 8556 Siegen Lane.
$5 per swimmer.
$20 maximum per family.

If you are bringing a friend, a separate registration form will need to be completed by their guardian in order to sign required waiver/release forms and create an account. If your child is attending with another family, when you complete the registration form you can list the family your child will attend with.

Event:

Start Date/Time:

End Date/Time:

Fee per Family:

Room:

* - denotes required fields

Family Information

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

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

Questions/Options:


Swimmer(s) Name & Age*
Currently Enrolled in Swim School classes?*
How did you hear about this event?*

Additional Information:

FAMILY REGISTRATION

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I've read the above and agree.

SWIM DIAPER POLICY

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I've read the above and agree.

SWIM TEST

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I've read the above and agree.

WAIVER & RELEASE

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WAIVER & RELEASE: Child Participant
I am the parent/guardian of the participant(s) identified herein and enrolled in a swimming program with Crawfish Aquatics Swim School. I acknowledge and understand that swimming is a hazardous activity and that there are risks inherent in the sport of swimming, including but not limited to drowning, fatigue, paralyzing injury and death.

I acknowledge that the participant(s) may participate in swimming activities at Crawfish Aquatics Swim School. I hereby agree to indemnify and hold harmless Crawfish Aquatics Swim School, its management, directors and agents, members, associates and employees against any and all liability for any injury that may occur to the participant(s) while present at Crawfish Swim School or participating in a swimming program, regardless of the cause of the injury or damage. I also hereby agree to indemnify Crawfish Aquatics Swim School, its management, directors and agents, members, associates and employees against any damages arising from any injury, property damage, claim, demand, action or cause of action by or on behalf of the participant(s) while on the premises of Crawfish Swim School, regardless of the cause of the injury or damage.

I agree to and hereby authorize any representative of Crawfish Aquatics Swim School to have the participant(s) treated in the event of any medical emergency which may arise and will pay all costs associated with any medical care and transportation for the participant(s).

WAIVER & RELEASE: Adult Participant
(adults that will be swimming with their child at the event)
I acknowledge and understand that swimming is a hazardous activity and that there are risks inherent in the sport of swimming, including but not limited to drowning, fatigue, paralyzing injury and death.

I hereby agree to indemnify and hold harmless Crawfish Aquatics Swim School, its management, directors and agents, members, associates and employees against any and all liability for any injury that may occur to myself while present at Crawfish Swim School or participating in a swimming program, regardless of the cause of the injury or damage. I also hereby agree to indemnify Crawfish Aquatics Swim School, its management, directors and agents, members, associates and employees against any damages arising from any injury, property damage, claim, demand, action or cause of action by or on behalf of myself while on the premises of Crawfish Swim School, regardless of the cause of the injury or damage.

I agree to and hereby authorize any representative of Crawfish Aquatics Swim School to provide treatment in the event of any medical emergency which may arise and will pay all costs associated with any medical care and transportation for the participant(s).

I've read the above and agree.

AUTHORIZED ADULT

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I've read the above and agree.

Enter your Full Name:

*

Other Questions/Comments:

Credit Card Verification:

Card Number: *

Name as it appears on card: *

Nickname:

Card Expiration Month: *

Exp Year: *

Address Line 1:

Address Line 2:

City:

State: Zip:*