SwimUnity - Family Swimming Lessons

Swimunity Family Water Safety Drop-in Registration

Registration & Agreement
Making the Joy of Swimming Accessible to All

Sessions begin from 4th June 2025 - Every Wednesday1030-1130 and Thursday 1130-1230
Name*

First NameLast Name
Please enter a valid phone number.
Phone Number
example@example.com
Address *

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
How did you hear about these sessions?*
I, the Parent/Guardian, desire to take part in Swim Lessons and/or other aquatic activities conductedy SwimUnity CIC. I am aware that engaging in these activities carries inherent risks, including the potential for physical harm, loss of life, or damage to property. I acknowledge and consent that I/my child have/has chosen to participate willingly, understanding the associated risks. I confirm that neither I nor my child have any known physical or medical conditions that would impede our ability to take part.

In participating in the aforementioned activities, I hereby release and absolve both Swim Unity CIC and Incredibly Elev8ed CIC along with all of their employees, volunteers, officers, and representatives ("Releasees"), from any and all claims concerning personal injury, death, or property damage that may arise due to or in connection with my/my child's involvement in these activities. This release of liability shall not apply in situations where such harm is the direct result of intentional misconduct or severe negligence on the part of the Releasees.
I acknowledge that photographs or images of myself/my child may be taken during the activity.
I / do not consent to my / my child's images being used via social media, websites, leaflets, and/or reports*

I consentI do not consent
By Signing this waiver, I affirm that I have read and understand it and agree with its contents.
Printed Name of Participant: First NameLast Name Participant’s DOB: Date*
Date*

MonthDayYear
Parent/Guardian Signature (for Participating Parent / Child(ren) )*

Clear
Date*

MonthDayYear
Should be Empty:

Swimunity Family Water Safety Drop-in Registration

Making the Joy of Swimming Accessible to All

By Signing this waiver, I affirm that I have read and understand it and agree with its contents.