Swim Lessons Registration Form - Session 5(June 10-29) - YMCA of ...

PARTICIPANT INFORMATIONPARTICIPANT NAME: _____________________________________________________ GENDER: _______AGE: _______ADDRESS: _______________________________________________________________________________________________________D.O.B.: _____________________ CITY: ______________________________ STATE / ZIP: ______________________PARENT / GUARDIAN NAME: __________________________________________________________________________________HOME PHONE: _______________________________________ CELL / WORK PHONE: _______________________________E-MAIL: _________________________________________________________________________________________________________EMERGENCY CONTACT NAME: _________________________________________________________________________________HOME PHONE: _______________________________________ CELL / WORK PHONE: _______________________________MEDICAL CONCERNS (please list any special conditions or limitation your child may have as well as any food, medicine orplant allergies, previous or existing illness, medications, hospitalizations, or medical requirements within the past 12 months):___________________________________________________________________________________________________________________PARTICIPANT WAIVERPlease INITIAL or ANSWER all lines to indicate received written policies / materials and agree to terms with SIGNATURE below.______________ ADA Policy (Required): Parents have the obligation to disclose significant, medical, physical or behavioral issues at the time of the child’senrollment and on an ongoing basis. Due to the large group format of our program, we are unable to provide one-on-one care for any child excepton an intermittent basis, such as injuries, immediate disciplinary issues and certain personal care needs customarily provided to other children.______________ Waiver for Medical Treatment (Required): In the event that my child requires emergency medical treatment and I cannot be reached,I hereby authorize the Y staff to make arrangements to transport my child to the physician, hospital or clinic that I have designated or thenearest hospital / emergency medical facility. I give my consent for any and all necessary medical care treatment for my child during this time.______________ Waiver for Participation (Required): I understand that Y activities have inherent risks and hereby assume all risks and hazards as a resultof my child’s participation in all Y programs and facilities, including transportation to and from said activities. I further release, absolve,indemnify and agree to hold harmless, the Y, the organizers, supervisors, directors, staff, volunteers, participants, coaches, referees, as well aspersons or parents transporting participants to or from such activities from any claims or injury sustained during my use of Y facilities orparticipation in any Y activity, whether located on Y property or not.______________ Waiver for Photo / Video / Audio Release (Optional): I give my consent for any photos, video and/or audio taken of my child involved inY programs to be used for Y promotions, trainings and/or displays.______________ Change / Cancellation / Refund Policy (REQUIRED): I understand that changes / cancellations / refunds are not permitted with the aquaticsdepartment unless a physician’s note is submitted stating the inability to complete the class. Classes cancelled due to inclement weather, holidays,illness or unforeseeable circumstances will not be rescheduled or refunded. Of note, there will be a $25 late fee for registering after the deadlinedate. And, as a reminder, there is a $10 fee for all cancellations or transfers submitted prior to two (2) weeks from the lesson start date. Once thetwo (2) week deadline prior to the lesson start date passes, no refunds will be made, so please make sure that your time and dates work for you.______________ Additional Notes (REQUIRED): I understand that all participants will need a swim evaluation and swim ticket in order to register - with theexception of parent/child classes, which do not require a registration ticket. Additionally, non-potty trained children must wear a swim diaper andswim liner (which can be purchased at our Member Services Desk) while in the pool at all times. Financial assistance is available for all those whoqualify. For any questions or concerns, please contact the Twin Lakes Family YMCA at (512) 250-9622.Parent / Guardian Signature: __________________________________________________________________________ Date: ______________________________________

Swim Lessons Class DescriptionsTWIN LAKES FAMILY YMCAPRESCHOOL (3-5 yrs. / 6:1 class ratio / 30 min. classes)Pike A (3-5 yrs.)First level without a parent, designed for the true beginner.Introduction to basic skills: kicking, blowing bubbles, andputting head in water. Goal is basic skills, water safety and beingcomfortable in the water, along with the socialization in a classenvironment. Child needs to be able to be comfortable in thewater, and show independence with swimming with a float beltand/or barbell to move to Pike B. Child needs to be able to swim8-10 feet and float 5 seconds with OR without a flotation aid tomove into Eel. (Comfort and independence in the water is key foradvancement from this level).Pike B (3-5 yrs.)Second level without a parent. Introduction to basic skills:kicking, paddling, blowing bubbles, and putting head underwater. Goal is independent swimming with float belt and/orbarbell, along with the socialization in a class environment.Child needs to be able to swim 8-10 feet and float 5 secondswith OR without a flotation aid to move into Eel. (Comfortand independence in the water is key for advancementfrom this level).Eel (4-5 yrs.)Advanced beginner level for children who can swim independentfrom the instructor, but still need the assistance of a float belt.Stroke development is emphasized and children will begin toswim further distances unassisted. Child needs to be able toswim unassisted without a float belt half the pool length withface in water to move into next level. Of note, three-year-oldsmust be approved for this class by the Aquatics Director or aninstructor.YOUTH (6-13 yrs. / 6:1 class ratio / 30 min. classes)Polliwog (6-10 yrs.)Inexperienced through beginner. Introduces basic floats,freestyle, breathing control and water safety. Students needto swim length of pool and float 10 seconds unassisted tomove to the next level.Guppy (6-10 yrs.)Advanced beginners. Introduces front crawl, rotary breathingand backstroke. For children to move to the next level, theyshould swim freestyle with rotary breathing the length of thepool and tread water for 30 seconds.Minnow (7-13 yrs.)Intermediate level emphasizes endurance, refines freestyle andbackstroke. Breaststroke and side stroke introduced. Studentsshould have the ability to continually swim freestyle for 2lengths and backstroke 1 length to move to the next level.Fish (7-13 yrs.)Participants will refine breaststroke and side stroke whileincreasing endurance with freestyle and backstroke. Butterfly isintroduced and more advanced water safety skills are discussed.Ray (4-5 yrs.)Intermediate level class using minimal flotation aid. Correctbody positioning and swimming with face in water emphasized.Backstroke and deep water skills are developed. Student needsto swim the length of the pool unassisted with no flotation aidon both front and back to advance to the next level. Of note,three-year-olds must be approved for this class by the AquaticsDirector or an instructor.Starfish (4-5 yrs.)Advanced level class practicing all skills. Development of rotarybreathing, endurance and advanced strokes. Class is designedfor the child who has advanced from the Ray class and can swimthe length of the pool on their front, back and side without aflotation device.

Swim Lessons Class DescriptionsTWIN LAKES FAMILY YMCASPECIALTY (30 min. classes)Parent & Child - Shrimp / Kipper Combo(6-12 mo. / 12:1 class ratio / parent in water with child)Child must be at least six months of age by the first day of classand be able to control head movement. Certified instructors willguide parents in teaching fundamental safety as well as aquaticskills, while introducing fun games, songs and nursery rhymesduring this water adjustment class.Parent & Child - Inia / Perch Combo(13-36 mo. / 12:1 class ratio / parent in water with child)A certified instructor will guide parents in teaching bodyposition, blowing bubbles with face in the water, floating, paddleskills, and fundamental safety and aquatics skills. Fun songs andaquatic activities will also increase confidence while learning tohave fun in the water and submerge comfortably.Adult - Beginner (Level 1: 14+ yrs.)Class is designed for the adult beginner that may be timidabout swimming or who has never swam in deep water. Classis self-paced, and will work on basics such as floating, treadingwater, kicking and the basic paddle stroke.Adult - Intermediate (Level 2: 14+ yrs.)Participants need to be able to swim at least 50 feet ontheir own. Focus of class is on stroke technique for freestyle,backstroke and elementary backstroke. Ideal class for thosewho are not afraid of the water, but have had minimalformal training.Private & Semi-Private(3-12 yrs. / 1:1 or 2:1 class ratios)We offer multiple options in private swimming lessons that willhelp get you or your kids swimming at the level you desire. Ourcertified, patient and knowledgeable Y swim instructors offerprivate and semi-private swim lessons for ages 3-12 / beginnerto intermediate levels. Of note, we do not do advanced trainingdue to pool size. When choosing a lesson type, think about yourneeds and what type of instructor will fit best. We will contactyou within five (5) business days after you have purchased yourlessons to talk about a structure that will fit your needs. NOTE:Private swim lessons will be offered during the summersessions at both the Twin Lakes & Avery Ranch pools.TWIN LAKES FAMILY YMCA204 E. Little Elm Trail, Cedar Park, TX 78613P 512 250 9622 F 512 615 7401 ymcagwc.org

Swim Lessons Participant / Parent InformationTWIN LAKES FAMILY YMCAAQUATICS DEPARTMENT PHILOSOPHYY Aquatics Programs promote both health and safety. All classes stress positive values and provide participants with the opportunityto practice them and promote growth in self-esteem as well as self-worth while having a great time. Through swim lessons, participantsare not only taught swimming skills, but also skills that will allow them to enjoy aquatics activities throughout their lives. All participantsare taught to incorporate each of the following components of Y Swim Lessons: personal safety, rescue skills, personal growth, strokedevelopment and water sports / games. The YMCA of Greater Williamson County Aquatics Department offers a wide variety of programs,which encourage all participants to develop values in physical fitness and education. We also run with an emphasis on quality andobserve all recommendations and guidelines set forth by the Texas Department of Health and the YMCA of the USA.PARTICIPANT / PARENT EXPECTATIONS1. We ask that all participants arrive 10 minutes prior to the class start time. All classes will begin and end on time.2. The first day is usually hectic. Calling roll and instructor introductions can take a few minutes, so please be patient.3. Parents - please meet your child on the deck immediately following the end of their swim lesson.4. If you are ever late for your lesson, please find the swim coordinator. This staff member will be able to help you check in andlocate your child’s instructor.5. Please make sure that all participants use the restroom, take a shower and apply sunscreen before class begins in order to avoidinterruptions and to help keep our pools clean and free of germs. This process needs to be taken care of prior to entering the water.6. Locker rooms are available for member and participants use. Family Changing Rooms are also available.7. Parents are required to remain on the pool deck while their child is in swim lessons in case the child needs to use therestroom or needs assistance. We find that children can concentrate best and get the most out of their lessons whenparents sit away from the class, so we ask you to stay on the deck during your child’s lesson.8. Feel free to visit with your swim instructor after your class time. Your and/or your child’s success depends upon a good relationswith your instructor. This will also help you decide what level to sign yourself / your child up for during the next session. Out ofcourtesy and respect, please do not interrupt a swim instructor during class while they are in the water teaching. Feel free to alsospeak with the swim coordinator at any time.9. Make sure to bring a towel with you to dry off with when class is over. Before entering the Y, please make sure you are covered anddry. Exposed swim wear is not permitted inside the main entrance to the Y. Goggles are encouraged but not required.10. As a reminder, there is a $10 fee for all cancellations / transfers prior to two (2) weeks out from the lesson start date.After the two (2) week deadline, no refunds are made for the lesson. Please make sure the times, dates and level workwith your schedule. Of note, there is a $25 late fee for all registrations submitted after the registration deadline.

MAKE-UP & REFUND POLICYSwim lessons will only be cancelled 30 minutes prior to the classbeginning due to weather. Please contact the Member Services Deskat (512) 250-9622 for an update on cancellations due toinclement weather. The pool will close if we are experiencingthunder / lightning for 30-minute periods. No make-up lessonswill be made due to weather related issues. Due to expensecommitments, refunds / transfers / class changes will not beallowed after two (2) weeks prior to the session start date.If changes wish to be made after original registration, a$10 fee will be incurred. No refunds will be given for privatelessons not used at the end of the year. Complete refunds willbe made on programs cancelled by the Y. Participants registered incancelled classes will be notified. The Y reserves the right to makechanges in scheduling when necessary.CLASS PROTOCOLInstructors reserve the right to move a student to a different levelbased upon the requirements of the class and present skill level ofthe student. Please feel free to approach our swim instructors afterclass to discuss your child’s progress. Please note that a detailedevaluation report will be issued at the end of each session.Participants will be given certifications and skill evaluations on thelast day of their lessons. Video cameras and picture taking arewelcome on the last day. Each lesson builds upon the skills taughtin the previous lesson and each level builds upon the skills taught inthe previous level. Participants have completed a level aftersuccessful performance of all the objectives of their current skilllevel. It is common for participants to attend the same class severaltimes in order to successfully complete all of the required skills.Progression is a very individual process. We encourage you tocelebrate each individual accomplishment and not to compareyour and/or your child’s progress to other students in class.OBSERVATIONSThis is an exciting time for you and your child. We understand thatwe have your most valued possession in our care and we assure youthat their safety, as well as the safety of other children, is our toppriority. For this reason, we must insist that parents remain as faraway from the pool as possible. We encourage you to wait to talkto your child or give words of encouragement until after his or herlesson is over. Talking to your child is distracting and takes focusaway from the instructor. This creates a safety issue for your child,the instructor and the entire class. Participants are not permitted toenter the water, regardless of their swimming ability, until theinstructor is ready and with the class. Our YMCA of the USAchild-to-instructor ratios are: Preschool (6:1) & Youth 6 years andabove (6:1). We encourage you to talk with your instructor if youhave any comments or concerns. Please wait until the class is overso your instructor can give you their full attention. You are alsowelcome to contact the Aquatics Director if you have any additionalquestions or concerns.TWIN LAKES FAMILY YMCA204 E. Little Elm Trail, Cedar Park, TX 78613P 512 250 9622 F 512 615 7401 ymcagwc.org