PLEASE READ CAREFULLY AND SIGN BOTH SECTIONS OF CARD
Client Information: Today’s Date:
___________________
Parents’ Names: (First &
Last) _______________________________________________________
Address___________________________ City_____________________ Zip
Code_____________
Home Phone: ______________
Mother’s Work #________________ Occupation_______________
Cell #
___________________Father’s Work # __________________Occupation_______________
Emergency Contact (Family or
Friend :) ____________________ Phone #:____________________
How Did You Hear About Us (please check one)? E-mail
Address: ___________________________
B-day Party____ Web-Site____
Ad Pages_____ Drive By____ Direct Mail _____Certificate____ School_______
Word of
Mouth/Friends__________________ Special Event ___________Mom’s Club
________Other_________
(Please tell us whom!) (Please Specify)
Children’s Information:
1st Child’s Name: _________________________ Male/Female Birth Date:_________________
2nd Child’s Name:
_________________________
Male/Female Birth Date:
_________________
3rd Child’s Name:
_________________________
Male/Female Birth Date:
_________________
4th Child’s Name:
_________________________
Male/Female Birth Date:
_________________
Child’s
Name: ________________________________Birthdate:____________________Special
Problems: __________________________
_________________________________________________________________________________________________________________
By
the very nature of the activity, swimming carries a risk of physical
injury. No matter how
careful the student and instructor are, no matter how much supervision, no
matter what swim aids are in place, the risk cannot be eliminated. Reduced, yes, but never eliminated. The risk of injury includes minor injuries
such as scrapes, bruises, and burns, and more serious injuries such as broken
bones, dislocations, and muscle pulls.
The risk also includes, and always includes, drowning and catastrophic
injuries such as permanent paralysis or even death from landings or falls on
the back, neck, or head.
The
swimming pool is open to participating students only. For the safety of the children, family
members and friends must wait in the lobby.
Viewing is always available from observation area. Students may not enter the pool area before
class begins. No food or drinks in pool
area.
Tuition: Registration
fees are non-refundable. A registration fee of $30.00 is charged annually for
the first child and $25.00 for the second child in the immediate family. Students signed up in a Metroplex Gymnastics
class will have a registration fee of $10. Tuition is payable in advance,
either by Tri-mester or session ---
substantial savings for more Tri-mesters
purchased. 50% of tuition is due upon
registration. The Remaining Tuition will
be due at least 2 weeks prior to the beginning of class. A $10 late fee will incur if all tuition has
not been paid at least 2 weeks prior to class.
Checks may be mailed to 205
There is a $25.00 charge for returned checks. A 10% discount is given for additional children in immediate family. Please look for pertinent information posted on the front windows and on the lobby bulletin boards
Make-up Policy – There will be NO make-ups for individual absences. Make ups will only occur on Fridays for rain
days.
Vacation Policy - Metroplex will pro rate 1 week of Tri-mester tuition if prior notice is given to the Metroplex Office.
Refunds – A full refund, less registration fee, will be given for
classes, if more than 2 weeks notice is given to the Metroplex Office. If notice is given inside 2
weeks of class, then 50% of the total tuition will be refunded, less
registration fee. Once the class
has begun or a child has begun attending class, there is NO REFUND for
unattended classes
Dress Swim
suits for girls, Swim shorts for boys, no buttons or zippers.
·
Swim diapers
must be worn by any child not potty trained and by all children under the age
of 4
·
Swim caps are
required to be worn by all students during swim class.
·
NO
jewelry. Long hair must be secured. NO gum.
NO band-aids.
·
Children with
open wounds are not allowed in the water.
Swim apparel &
accessories are available through Metroplex Etc.