Selah Park and Recreation Service Area Online Registration

Registration

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Welcome to Selah Aquatic Center! Please complete the following registration form.

* denotes required fields

Referral Information

How did you hear about us?

Referral Name

Family Information

Family Last Name*

Where do you live?

Home Address*

City*

State*

Zip*

Home or Primary Phone*

Contact #1

Contact #1 First Name*

Last Name *

How Can We Contact You?

Home Phone

Work #

Cell #

Portal Access (your email is your login)

Email* (Emails are kept confidential)

Confirm Email*

Portal Account Password

Confirm Portal Account Password

Student #1

Student's First Name*

Last Name*

Student Gender*

Birth Date* (format=mm/dd/yyyy)

Additional Info

T-Shirt Size

Please click on the Search button below, then choose the class.

Enroll in Classes

Select Class

Student #2 (Show-Hide Details)

Student's First Name*

Last Name*

Student Gender*

Birth Date* (format=mm/dd/yyyy)

Additional Info

T-Shirt Size

Please click on the Search button below, then choose the class.

Enroll in Classes

Select Class

Student #3 (Show-Hide Details)

Student's First Name*

Last Name*

Student Gender*

Birth Date* (format=mm/dd/yyyy)

Additional Info

T-Shirt Size

Please click on the Search button below, then choose the class.

Enroll in Classes

Select Class

Student #4 (Show-Hide Details)

Student's First Name*

Last Name*

Student Gender*

Birth Date* (format=mm/dd/yyyy)

Additional Info

T-Shirt Size

Please click on the Search button below, then choose the class.

Enroll in Classes

Select Class

Student #5 (Show-Hide Details)

Student's First Name*

Last Name*

Student Gender*

Birth Date* (format=mm/dd/yyyy)

Additional Info

T-Shirt Size

Please click on the Search button below, then choose the class.

Enroll in Classes

Select Class

Add Another Student

Required Policies and Agreements

Assumption of Risk

Waiver:
In consideration of my use of the premises of Selah Aquatic Center, I for myself, my heirs, personal representative or assigns, do hereby release, waive, discharge, and covenant not to sue Selah Aquatic Center, it's trustees, directors, officers, employees and agents from liability from any and all claims including negligence of water safety resulting in personal injury, accidents, or illnesses (including death) and property loss arising from use of premises.

Assumption of Risk:
Aquatic activity carries with it certain inherent risks that cannot be eliminated regardless of the care taken to avoid injuries. I have read the previous paragraphs and I know and understand and appreciate these and other risks are inherent in the activity I am participating in. I hereby assert that my participation is voluntary and that I knowingly assume all such risks.

Indemnification and Hold Harmless:
I also agree to indemnify and hold harmless Selah Aquatic Center, its trustees, directors, officers, employees and agents from any and all claims, actions, suits, costs, expenses, damages and liabilities including attorney fees as a result of this use of premises.

Severability:
The undersigned further expressly agrees that the forgoing waiver and assumption of risk agreement is intended to be as broad and inclusive as is permitted and that if any portion thereof is held invalid, it is agreed that the balance shall, notwithstanding, continue in full legal force and effect.

Acknowledgement of Understanding:
I have read this waiver of liability, assumption of risk, and indemnity agreement, and fully understand its terms. I acknowledge that I am signing the agreement freely and voluntarily, and intend by my signature to be a complete and unconditional release of all liability to the greatest extent allowed by law.

I've read the above and agree.

Medical Emergencies

Authorization and Agreement for Emergency Treatment

The undersigned hereby makes the following Acknowledgments and Agreements regarding emergency treatment to be provided

Consent for Treatment: I understand that medical treatment of an urgent nature is necessary for the student and that such medical care treatment and procedures will be performed by trained lifeguards. I understand that only emergency treatment is being provided and that no responsibility will be taken for long-term patient care. I hereby grant my authorization and consent to such treatment and procedures and certify that no assurance has been made as to the results which may be obtained.

I've read the above and agree.

Payment Policy

Class Fees Policy:
Class fees save you a place in a class at a certain place and time. Full class fee must be paid to register for class. Please sign up and pay only after you have decided to make attending the lessons a priority. Refunds are only issued at the discretion of the facility in extreme circumstances.

Make Up Policy:
Swim lessons should be made a priority in your child's life. Skipping lessons are not good for your child and are not fair for the other children in class who have to wait while the instructor tries to catch the child who was absent up. Lessons are progressive in nature where a student's success depends upon being exposed to each class in sequence. Due to the abuses in the past, we offer NO GUARANTEE A MAKEUP CLASS WILL BE AVAILABLE. If there is an emergency situation where the student cannot attend class, possible exceptions can be made, at the discretion of the staff.

Inclement Weather Policy:
In the event of inclement weather (Lightning, Extreme Rain, Extreme Wind, etc.) classes will be canceled and rescheduled for a different day, at the discretion of the facility. This will be the only make-up opportunity and classes will not be rescheduled for a specific individual.

I've read the above and agree.

I Agree to All of the Above

Enter your Full Name*

Questions or Concerns

Comments