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Group Lesson Request Form
Triangle Aquatics, LLC is offering swim lessons this summer to your community. Each weekday session will be 2 weeks long running Monday - Thursday. Each lesson will run for 30 minutes. The cost per session (8 lessons) is $95.00.
When lessons are going on we ask that a parent/guardian stay with the child.
*
Indicates required field
Swimmer's Name
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First
Last
Guardian's Name
*
First
Last
Phone Number
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Email
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Location
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Cary Park - must have pool membership
Preserve at Jordan Lake - must have pool membership
Summer Swim Level Descriptions
Summer Level 1:
Little water experience. Will enter the water independently but is not 100% comfortable. Swimmer can do tasks such as bubbles, traveling 5 yards, and attempts back float while assisted in the pool.
Cary Park: 9:00am - 9:30am The Preserve at Jordan Lake: 10:00am - 10:30am
Summer Level 2:
Swimmers should be able to perform arm and leg motions simultaneously to swim a body length. Swimmers should also be able to float on their backs for 5 seconds comfortably assisted, and roll from front to back.
Cary Park: 8:30am - 9:00am The Preserve at Jordan Lake: 9:30am - 10:00am
Summer Level 3:
Swimmers should be able to push off the wall, and swim 3 body lengths freestyle and backstroke. Swimmers must also be able to float for 15 seconds on both front and back, and be comfortable in the water on their own.
Cary Park: 8:00am - 8:30am The Preserve at Jordan Lake: 9:00am - 9:30am
Choose Swim Level
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Summer Level 1
Summer Level 2
Summer Level 3
Summer Session
Session I: June 17 – June 28
Session II: July 8 – July 19
Session III: July 22 – August 2
Choose Summer Session
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Session I: June 17 - June 28
Session II: July 8 - July 19
Session III: July 22 - August 2
Questions/Comments:
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I hereby recognize and adhere to all Triangle Aquatic Center policies and procedures.
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Yes
No
I hereby recognize and acknowledge that my or my child’s participation in recreational activities may involve bodily and/or emotional injury to myself and/or my child. In consideration of myself and my child being able to participate in such events, I , for myself, child(ren), heirs, executors and administrators, hereby voluntarily and knowingly indemnify and hold harmless, defend, release, waive, and discharge Triangle Aquatic Center and its officers, employees and volun-teers from any and all suits, claims or liability, including negligence. I therefore will cover all medical, hospitalization or any other expenses resulting from my or my child’s participation. I herby authorize Triangle Aquatic Center staff to act on my behalf in accordance with their best judgment in case of an emergency involving me or my child, and agree to assume full responsibility for all expenses, medical or otherwise, that may arise there from. PHOTO RELEASE: I authorize Triangle Aquatics to use my image taken in classes for publicity purposes.
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