Registration
Ages 5-7.5 years old 2:15 - 2:55 pm Satrudays $7.00 per Child Open Splash Room
Event:
Start Date/Time: End Date/Time:
Fee per Student: Room:
* - denotes required fields
Family Information
First Name:* Last Name: *
Type*
Home Phone: Click to Enter an International Number Cell #: Click to Enter an International Number Work #: Click to Enter an International Number
Email:* (Emails are kept confidential)
 
Address: *
City: * State: * Zip: *
 
 
Students entered below will be added to your family's account
 
Questions/Options:
Children Names*
Children ages*
 
Additional Information:
 
Splash Room Policy
1. No Shoes Allowed – Bare Feet Only Play Room
2. No Food or Drinks allowed in the Splash Room
3. Splash Room is for children under 7
4. Children must be accompanied by a responsible adult (aged 18 or older). Adult must remain on premises. Triangle Swim School is not responsible for supervision of children.


Please remember that children must obey the rules of the splash room. Our staff will be present to make sure that everyone has a great time by offering polite reminders as necessary. Only adults that are accompanying children will be admitted.

I've read the above and agree.
 
Photos and Video
I understand that photographs/videos taken or posted to our website, Facebook or Instagram page may be used by Triangle Swim School (names will never be used) without paying compensation to any individual or entity for the likeness, image, name, and/or signature of any adult or their child in photographic or other works appearing in any and all media (presently known).
I've read the above and agree.
 
Refund Policy
If you cancel your spot to a SPLASH ROOM event, you will be refunded 50% of the fee up to 1 day prior (i.e., cancel Thursday for a Saturday event will be given a refund of 50%. In this case, a Friday cancellation will not be given a refund).
I've read the above and agree.
 
Release of Liability
I, the enrolled participant and/or the parent/guardian of the participant, agree and understand that indoor play in the SPLASH ROOM is a hazardous activity. I recognize that there are risks inherent in the activity of indoor play in the SPLASH ROOM, including but not limited to, paralyzing injuries and death. The participant hereby agrees to participate in the SPLASH ROOM activities at any/all Triangle Swim School locations and hereby agrees to indemnify and hold harmless Emerging Technology Solutions Group, Inc dba Triangle Swim School, its officers, directors, agents, employees, coaches, 1099 contractors, against any liability resulting from any injury that may occur to the participant while participating in the splash room. The participant also agrees to indemnify Triangle Swim School for any damages incurred arising from claims, demand, action or cause of action by the participant. The participant authorizes any representative of Triangle Swim School to have the participant treated in any medical emergency from their participation in the SPLASH ROOM. Further, the participant and/or parent/legal guardian agrees to pay all costs associated with medical care and transportation for the participant. I HAVE CAREFULLY READ THE ABOVE LIABILITY RELEASE AND SIGN IT WITH FULL KNOWLEDGE OF ITS CONTENTS AND SIGNIFICANCE.
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:*