Clinton Pool Swim Lessons Registration Form

Swim Lessons Registration Form

Please fill out this form in order to register your child for swim lessons at the Jack Boynton Community Pool, for the 2022 Season. After submitting the form, you will have the option of filling out the form again for additional children. If you have any questions, don't hesitate to email us at: theclintonpool@gmail.com.
1. Contact Information
Child's Name *

First Name Last Name
Child's Birthdate *

Month Day Year
Address *
Street Address, City, State, Zip
Parent Email *
Families may get occasional e-mails from the Clinton Youth Foundation
Primary Phone Number *
Please enter a valid phone number.
Alternate Phone Number *
Please enter a valid phone number.
2. Emergency Contact Information
Parent/Guardian Name *

First Name Last Name
Relationship *
Primary Phone Number *
Please enter a valid phone number.
Alternate Phone Number *
Please enter a valid phone number.
Second Emergency Contact *

First Name Last Name
Relationship *
Primary Phone Number *
Please enter a valid phone number.
Alternate Phone Number *
Please enter a valid phone number.
3. Medical Information
Does the participant have any medical conditions of which the instructor should be aware? (For example, asthma, seizures, diabetes, etc.) *

Yes No
If you answered "Yes" above, please explain:
4. Select Your Lesson Options
This Season, the Clinton Pool is offering its customary 3-week swim lesson sessions, as well as some full season opportunites (note the price difference in each case). Students may register for one or both sessions, or for full season options. Pricing varies per class, with reduced rates for families/individuals that have a current, 2021 Season Membership at the pool.

Choose the session(s) for which you are registering and the appropriate class level. Visit our website for a placement guide. PLEASE NOTE: Instructors may recommend placement changes based on their evaluation of participant skills.

Full Season (Saturday Classes): July 9 – August 13
($45 members; $65 non-members)
- Tadpoles (Ages 5-6): Sat., 10 – 10:30 am
- Learn to Swim – Level 1 (Ages 6-7): Sat., 9:30 – 10:00 am
- Learn to Swim – Level 2 (Ages 8-10): Sat., 9:00 - 9:30 am
NOTE: Tadpoles and Level 1 classes requires direct contact with instructor. Students will be placed in a stable “pod” of children with an instructor.

NOTE: Saturday classes will run weekly throughout the six week session, but will still only provide 3 hours of lessons, rather than the 4.5 hours of lessons in a regular 3-week session. Prices have been reduced accordingly.

First Session, July 5 – July 25 / Second Session, July 26 – Aug 15
($60 members; $80 non-members) (Water Babies: $45/$65)

PLEASE NOTE: Special scheduling for 2022 because July 4 falls on a Monday.

Lessons for Children 6 and Under:
- Water Babies (Parent & Child 2-4 yo) T/Th, 12:00 - 12:30 p.m.
- Tadpoles (ages 5-6) M/W/F, 11:30 a.m. – 12:00 p.m.
Lessons for Children 7 and Over:
- Learn to Swim - Level 1 (ages 7-8) M/W/F, 11:00 - 11:30 a.m.
- Learn to Swim - Level 2 (ages 8-10) M/W/F, 10:30 - 11:00 a.m.
- Stroke Development - Level 3 (ages 10-12) T/Th, 11:15 am - 12:00pm
- Stroke Development - Level 3 (ages 10-12) M/W, 7:00 - 7:45a.m.
- Stroke Refinement - Level 4/5 (ages 11-14) T/Th, 10:30 - 11:15 a.m.
IMPORTANT NOTES (PLEASE READ BEFORE REGISTERING!):
- Tadpoles and Level 1 classes requires direct contact with instructor. Students will be placed in a stable “pod” of no more than 4 children and 1 instructor.
- All swim classes must have a minimum enrollment of 6 students to run. Enrollments are capped at 12/15 depending on the class.
- If slots are no longer available, the class will appear with "[WAITLIST]" in front. If you choose to register for one of these classes you will be notified when/if a slot opens up. Please do not submit payment until your child's spot is secured .
- If the waitlist gets too long, the class will be [CLOSED]. Please do not sign up for a closed class.
Choose your Class/es *
Hold down command (Mac) or control (PC) while clicking to select multiple sessions
Sub-Total
5. Payment Options
Do you have a Household Membership to the Pool for the 2022 Season? *

Yes No
Choose a payment option *

Paypal or Credit/Debit Card (preferred) Check Cash
Total Payment
Select your class pricing membership status, member or non-member, below. Please be sure to select the correct quantity (one or two sessions). If you are signing up for a WAITLIST, please do not submit payment until you have been confirmed. *
Categories: All

All

Swim Lessons
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Swim Lessons

Member, Session 1 or 2
$ 60.00 Quantity (1 or 2)

Non-Member, Session 1 or 2
$ 80.00 Quantity (1 or 2)

Member, Full-Season or Water Babies
$ 45.00

Non-Member, Full-Season or Water Babies
$ 65.00

Total

$ 0.00
Checks can be made out to 'The Clinton Youth Foundation' and mailed to:

PO Box 32, Clinton, NY 13323
Cash payments can be received at the pool house during normal operating hours once the pool has opened for the summer.

Questions? Email us at: theclintonpool@gmail.com
6.Sick Policy and Submission
If a child or member of your family is feeling ill, we ask that you please avoid attending class as a preventative measure.

Policies are subject to change based upon ongoing review of national and local CDC guidelines. We appreciate your cooperation and continued support!

Complete your Swim Lessons Registration Form by clicking SUBMIT.
Should be Empty:

Swim Lessons Registration Form

1. Contact Information

2. Emergency Contact Information

3. Medical Information

4. Select Your Lesson Options

5. Payment Options

6.Sick Policy and Submission