Registration

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Welcome to Waterbabies! Please complete the below form to set-up your Waterbabies account.

*   denotes required fields

Referral Information
Family Information
Where do you live?
Additional Info
Contact #1
How Can We Contact You?
Portal Access (your email is your login)
(Emails are kept confidential)
Contact #2
How can we contact you?
(Emails are kept confidential)
Student #1
(format=mm/dd/yyyy)
Additional Info
Required Policies and Agreements
As the undersigned, I agree that myself, my children, heirs or guests hereby waive and release any and all claims for damages, liabilities, suits, costs or actions against Waterbabies, LLC, Vera Garibaldi, Columbia Athletic Club - Pine Lake, Columbia Athletic Club - Juanita Bay, Columbia Athletic Club - Silver Lake, Bellevue Aquatic Center, Waterbabies Aquatic Center and any employees or partners thereof.

As the undersigned, I understand that Waterbabies may videotape or photograph my class for educational or promotional purposes, and give my permission for them to do so, and to use any images captured therein.

I have read through the Waterbabies Policies (http://www.waterbabiesusa.com/policies/) and New Family Preparation (http://www.waterbabiesusa.com/class-overview/#new-family-prep) pages, and agree to follow all Waterbabies rules and policies.

I understand that class cancellations can occur due to poop or throw-up accidents, facility malfunction, inclement weather and/or instructor illness. I authorize Waterbabies to use my phone and email information to notify me of class cancellations through an auto-notification system.

I understand my payment information is securely held in this system for ease with future enrollments. Credit cards/ bank account will be charged within 7 business days of class enrollment and/or product purchase.

I Agree to All of the Above
Questions or Concerns
Payment Information
Account Information
Credit Card
eCheck/Bank Draft
(Your name on your bank statement)
(9-digit number)