Clone of Junior Swim Program - 2026 Spring Session

Session Dates:

FALL SESSION: 9/8/2026-11/25/2026

What is your affiliation with Wightman Tennis Center?

Child's Name

First NameLast Name

Birth Date

MonthDayYear

Please upload a current photo of your child for their account.

Please select a program (available class times will appear below):

Please choose class time(s) below.

PARENT/CHILD (AGES 6 MONTHS TO 4 YEARS)

BEGINNER (AGES 5-8)

INTERMEDIATE (ARC Levels 2-3)

ADVANCED (ARC Levels 3-5)

Parent / Guardian 1

First NameLast Name

Phone Number

Please enter a valid phone number.Format: (000) 000-0000.

Email

example@example.com

Address

Street Address

Street Address Line 2

CityState

Zip Code

Parent / Guardian 2

First NameLast Name

Phone Number

Please enter a valid phone number.Format: (000) 000-0000.

Email

example@example.com

Emergency Contact

First NameLast Name

Phone Number

Please enter a valid phone number.Format: (000) 000-0000.

PAYMENT AND REGISTRATION

Clinics will be prepaid for each full session at the time of registration, with no refunds or make ups for missed classes. If you do not have a Wightman account or credit card on file, a club representative will contact you to complete the payment process. Please note that credit card transactions incur a 3% convenience fee, and registration is not finalized until payment is received.
Registration will be made on a first come, first served basis. For any questions about clinic placement or guidance, please contact Matt Brooks at matt@wightmantennis.org.

1. I give permission for my child to participate in all clinic program activities similar to those described in the brochure, information packet or website. I understand that my child must follow Club rules, including Covid-19 policies in place at the time of the clinics. I understand and agree to the payment and cancellation fee policies as described in the program's brochure, information packet or website. Failure to adhere to the terms and policies may result in expulsion from the program.

2. Junior Clinic Policies: Club rules will be in place for all clinics. Wightman seeks to promote a positive experience for all junior program participants.There will be no make-ups or refunds for missed classes.To help maintain a focused, safe, and distraction-free environment for all participants, Wightman Tennis Center strongly recommends that non-member parents and caretakers drop off their junior before the clinic begins and pick them up promptly when the clinic ends.Parents or caretakers who wish to observe may do so from the lobby or the designated seating area, provided they follow the guidelines below and do not distract swimmers, coaches, members, or other guests. Anyone creating a disruption may be asked to leave the viewing area and return at the conclusion of the clinic.Footwear: Please ensure that your shoes are clean before entering the pool deck.Electronics: All electronic devices must be set to silent. Phone calls should be taken outside the main entrance or in the parking lot.Additional Children: Children who are not enrolled in the clinic must remain under the direct supervision of a parent or caretaker at all times. They may not enter the pool, disrupt the clinic, disturb members, or create excessive noise in the lobby. If a child becomes disruptive or is unable to remain quiet, the parent or caretaker will be asked to leave the lobby or viewing area until the clinic has concluded.Food and Beverage: Only water in a closed container is permitted on the pool deck. No other food or beverages are allowed.Please note that the lobby should not be used as a workspace or for extended phone calls. Thank you for helping us provide a positive and productive experience for all junior swimmers.

WAIVER OF LIABILITY

I understand that it is the intent of the Program and of Wightman to ensure my safety and/or that of my child(ren). On behalf of myself, and/or my child(ren), I hereby assume all risks related to participation in the Program, including but not limited to, accidents, illness, permanent disability, injury, or death, including personal, bodily or mental injury of any nature. I hereby certify that I understand the nature and extent of the risks inherent in participation, and in the use of facilities, equipment or services in association with the Program.I understand that participation in this Program is completely voluntary and I agree to assume all of the foregoing risks and accept sole responsibility for myself and/or my child(ren). It is my responsibility to ensure that I and/or my child(ren) participate only in activities for which I and/or my child(ren) possess appropriate skills, qualifications, training and physical conditioning.On behalf of myself and/or my child(ren), I hereby assume all risks related to participation in the Program. I further hereby, on behalf of myself, and/or my child(ren), and anyone claiming through myself and/or my child(ren), do FOREVER RELEASE Wightman, its officers, directors, employees, members, agents, and assigns from any cause of action, claims, or demands of any nature whatsoever, including but not limited to a claim of negligence which I, and/or my child(ren), or anyone claiming through myself and/or my child(ren), may now or in the future have against Wightman on account of personal injury, bodily injury, property damage, death or accident of any kind, arising out of or in any way related to my participation and/or that of my child(ren) in the Program howsoever the injury is caused.I understand that this Program is not a medical or health care program. I have no expectation of any medical or health benefit to myself and/or my child(ren) from participation in the Program. I certify that I and/or my child(ren) am/is/are medically able to participate in the Program and am/is/are free from any communicable, infectious or contagious diseases. IN CASE OF EMERGENCY such as accident or injury, I give permission to the Program to provide assistance and to procure emergency medical care in the event that I or person(s) I designate cannot be reached. By signing below, I certify, on behalf of myself and/or my child(ren) that I have read and understand the contents of this document. My signature is proof of consent and release for myself and/or my child(ren) to participate in this Program.

Participant Name

First NameLast Name

Parent / Guardian Name

First NameLast Name

Relationship to Participant

Parent / Guardian Signature

Junior Swim Program - 2026 Fall Session

PARTICIPANT INFORMATION

PARENT / GUARDIAN INFORMATION

EMERGENCY CONTACT INFORMATION

PAYMENT AND REGISTRATION

AGREEMENT OF TERMS

WAIVER OF LIABILITY