Saturday, September 27, 2008

Swim Registration Form and Rules

AUTISM FAMILY FUN SWIM AND SAIL

REGISTRATION FORM

PARENT/GUARDIAN NAME:______________________________________________

ADDRESS:______________________________________________________________

CITY:________________________________STATE:_______ZIP:_________________

TELEPHONE:____________________________CELL:__________________________

EMAIL:_________________________________________________________________

NAME(S) OF CHILDREN:_________________________________________________

SUGGESTIONS ON HOW TO IMPROVE THE PROGRAM:_____________________

________________________________________________________________________

SPECIAL NEEDS OR ACCOMMODATIONS:_________________________________

ONE TIME REGISTRATION FEE: $35.00 PER FAMILY – Bring it with you or mail.
Nobody will be turned away due to inability to pay.

IMPORTANT REMINDER: Everyone must wear a bathing suit in the swim area. Please see blogspot for rules and regulations http://autismswimandsail.blogspot.com.

Mail
Autism Family Fun Swim and Sail
Maria LeMaire
4 Quail Run
Smith Point, NY 11967
PHONE: 631-772-8917
CELL: 631-664-0031
EMAIL: mklemaire@gmail.com
http://autismswimandsail.blogspot.com

PHOTO/VIDEO RELEASE FORM

I hereby do___ do not___ give permission for images of myself and my child(ren), captured during Autism Swim through video, photo and digital camera, to be used for the purposes of promotional material and publications, and/or news related public interest stories.
_______________________________
(Parent or Guardian’s signature)

NATATORIUM RULES:
NO ONE IS ALLOWED IN THE POOL UNLESS A LIFEGUARD IS ON DUTY!ONE LONG WHISTLE BLAST IS THE SIGNAL TO CLEAR THE POOL!
The following rules will be strictly enforced!Anyone who refuses to cooperate will not be allowed access to the pool.1. Everyone must obey the directions of the lifeguard.2. No street shoes on deck.3. Children will not be allowed on pool deck unless the parent is next to the child.4. If the restroom is needed during swim time, a parent must accompany the child.5. No running or rough play on the deck or in the water.6. Dive in designated area only! Diving is permitted in the deep end, lanes 1 & 2, marked off by the cones.7. Swim instruction will take place in lanes 5 & 6. No one is allowed in this area unless they are participating in the swim lessons.8. Everyone must shower before entering the pool.9. Proper swimwear is required (i.e. no cutoffs, pants, etc.)10. All spectators/parents must be wearing bathing suits.11. No shoes allowed on deck.12. Only white T-shirts may be worn over suits if not swimming.13. Hair longer than shoulder length, bathing caps are required.14. Hair shorter than shoulder length must be pulled back. No bobby pins.15. All jewelry, hair decorations and bandages must be removed before entering the pool.16. Persons with open sores and rashes are not allowed in the pool without physician's consent.17. All bags are to be left in the locker room.18. No spitting in pool or on deck.19. No gum, food or drink allowed in the pool area, except drinking water.20. No glass or cans. Plastic bottles are allowed in the pool area.21. The children will provide their own floatation devices as long as it is not an inflatable tube or bubble. Swim bubbles and life jackets are available for use.I have read the above rules and I am aware of their importance.Signed by: ________________________________________ Date: ___________________(Parent or Guardian)PRINT Child's Name: __________________________________________________

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