Swim Lessons

By signing below, I agree that I have read and understand all of the below information as it relates to Foundation YMCA aquatics programs.

• ADA Policy (REQUIRED): Parents have the obligation to disclose significant, medical, physical, or behavioral issues at the time of the child's enrollment and on an ongoing basis. Due to the large group format of our program, we are unable to provide one-on-one care for any child except on an intermittent basis, such as injuries, immediate disciplinary issues, and certain personal care needs customarily provided to other children.
   
• Waiver for Medical Treatment (REQUIRED): In the event that I and/or my child require emergency treatment and our emergency contact cannot be reached, I hereby authorize the Y to make arrangements to transport me and/or my child to the nearest hospital emergency facility. I give my consent for any and all necessary medical treatment, if, in fact, I and/or my child require the attention of a physician
   
• Waiver for Participation (REQUIRED): I understand that Y activities have inherent risks and I hereby assume responsibility for all risks and hazards to me and/or my child in the participation of these activities. I further waive, release, absolve, and agree to hold harmless the Y, the organizers, volunteers, supervisors, officers, directors, and participants from any claims or injury sustained during my use of the facilities or participation in the Y program.
   
• Waiver for Photo / Video / Audio Release (OPTIONAL): I give my consent for any photos, video, and/or audio taken of me and/or my child involved in Y programs to be used for Y promotions, training, and/or displays.
   
• Change / Cancellation / Refund Policy (REQUIRED): I understand that changes/cancellations/refunds are not permitted within the aquatics department unless a physician's note is submitted stating the inability to complete the class. Classes canceled due to weather will be rescheduled if less than 10 minutes of the lesson took place. There is a 24-hour cancellation policy for the day of the lesson. You must contact the aquatics director or Swim Lesson Coordinator at 252-291-9622. Day of cancellations cannot be handled at the Member Services Desk. If the participant is more than five (5) minutes late for a session or does not show up, the participant will still be charged for that scheduled lesson. To stop rolling payments please give our Aquatics Director or Front Desk staff a written notice of cancellation at least 30 days before the next scheduled payment. 
   
• Additional Notes (REQUIRED): The Y reserves the right to cancel this lesson due to unforeseen circumstances. Classes will be rescheduled if needed. All non-potty trained children must wear a swim diaper and swim liner, which can be purchased at the Member Services Desk. Financial assistance is available for all those who qualify. For any questions or concerns, please contact the Foundation YMCA at 252-291-9622. All lessons must be used within 100 days of the date of purchase. Unused sessions are nonrefundable. 
   
• MEDICAL CONCERNS (please let our aquatics director or front desk staff aware of any special conditions or limitation your child may have as well as any food, medicine or plant allergies, previous or existing illness, medications, hospitalizations, or medical requirements within the past 12 months)