Swimmer Information
Name
*
First Name
Last Name
Birthdate
*
-
Month
-
Day
Year
Date
Swimmer's age
*
Swimmer's Hospitalization number
*
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Parent/ Guardian Information
Name
*
First Name
Last Name
Email
*
example@example.com
Cell Phone Number
*
Please enter a valid phone number.
Can we text message your cellphone number above? (Data rates may apply)
*
Yes
No
Would you like to add contact information for a second parent/guardian?
*
Yes
No
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Alternate Parent/Guardian Information
Name
First Name
Last Name
Email
example@example.com
Cell phone number
Please enter a valid phone number.
Can we text message your cellphone number above? (Data rates may apply)
Yes
No
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Swimmer history
Prior to summer 2024, what was the last Lifesaving Society Swimming level your child has completed?
*
Parent & Tot 1
Parent & Tot 2
Parent & Tot 3
Preschool 1
Preschool 2
Preschool 3
Preschool 4
Preschool 5
Swimmer 1
Swimmer 2
Swimmer 3
Swimmer 4
Swimmer 5
Swimmer 6
Rookie Patrol
Ranger Patrol
Star Patrol
Not Sure
Does your swimmer have any of the following concerns?
*
Physical Health
Mental Health
Medications
Allergies
Fears
Other
None of the above
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Please describe your swimmer's condition below
*
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2024 Registration Requests
What level would you like to register your swimmer for?
*
Parent & Tot 1
Parent & Tot 2
Parent & Tot 3
Preschool 1
Preschool 2
Preschool 3
Preschool 4
Preschool 5
Swimmer 1
Swimmer 2
Swimmer 3
Swimmer 4
Swimmer 5
Swimmer 6
Rookie Patrol
Ranger Patrol
Star Patrol
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Swimming Sessions
Note - there will be no lessons on Statutory Holidays
First Choice - Please note Rookie, Ranger & Star ONLY available Session 3 & 4
*
Session 1 - Monday& Wednesday - May 27 - June 19
Session 1 - Tuesday & Thursday - May 28-June 20
Session 2 - Monday - Friday - July 8 - 12
Session 3 - Monday - Friday - July 15 - July 26
Session 4 - Monday - Friday - August 6 - 16
Session 5 - Monday - Friday - August 19 - 23
Private Lesson 1 - Tuesday - Friday - July 2-5
Private Lesson 2 - Monday - Friday - July 29 - August 2
Second Choice - Please note Rookie, Ranger & Star ONLY available Session 3 & 4
*
Session 1 - Monday& Wednesday - May 27 - June 19
Session 1 - Tuesday & Thursday - May 28-June 20
Session 2 - Monday - Friday - July 8 - 12
Session 3 - Monday - Friday - July 15 - July 26
Session 4 - Monday - Friday - August 6 - 16
Session 5 - Monday - Friday - August 19 - 23
Private Lesson 1 - Tuesday - Friday - July 2-5
Private Lesson 2 - Monday - Friday - July 29 - August 2
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Photography release
I give permission for photographs of my swimmer to be taken and used for promotional purposes on social media and www.townofunity.com.
*
Yes
No
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Liability Release
By completing this registration, I confirm that my swimmer has permission to take part in swimming lessons at the Unity Credit Union Aquatic Centre. I understand there is risk associated with swimming lessons, and that the Town of Unity shall not be liable for any injury that occurs at Unity Credit Union Aquatic Centre
*
Yes
No
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Would you like to add swimming passes to your order today?
*
Yes
No
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Swimming Passes
*Season passes are non-refundable as of July 1, 2024. Season passes and punch cards expire October 1, 2024.
Please register my swimmer for the following swimming passes. This is in addition to regular lessons
Season Pass - Family - $175
Season Pass - Adult - $85
Season Pass - Student (14 and up) - $75
Season Pass - Child (6-13) - $60
Season Pass - Preschool - $50 (Parent may enter for FREE with preschooler for child's safety)
Punch Card (10 passes) - Adult - $60
Punch Card (10 passes) - Student (14-18) $50
Punch Card (10 passes) - Child (6-13) $40
Punch Card (10 passes) - Preschool - $30 (parent may enter pool for FREE with Preschooler for child's safety)
Aquasize/Lane Swim (10 passes) - $50
Please list below all family members to be included in the above passes
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Swimming lesson registration is on a 'first come, first served' basis. Upon completion of this form, one of our staff members will be in contact with details on your swimmer's lesson times and swimming pass details (if applicable).
Please check your email for payment instructions.
Submit
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