Register at Your Location - Hall Swim Academy

Welcome! Please fill out the form below and click SUBMIT to register online. If you have any questions about the registration process, email bebe@hallswimacademy.com

First Name *

Phone *

Street Address (Location of Pool) *

Zip Code *

Student Name *

Age *

Last Name *

Email *

City *

Details for Parking

Birth Date *

Emergency Contact Name *

Emergency Contact Phone *

What days and times work best for you? *

Do you have a preference for a female or male instructor?

Female

Male

No preference

Are you joining another swimmer or group who is already enrolled? If yes, please include their name.

Waiver (Please check all boxes in order to submit the form) *

REFUND POLICY AND SPECIAL NOTES - Hall Swim Academy reserves the right to cancel all, or any portion of, a swim lesson due to weather, acts of God, or any other reasons within or beyond its control. Any cancellations made under 24 hours of the scheduled swim lesson will be charged to your account.

WAIVER/RELEASE for COMMUNICABLE DISEASES including COVID-19 - ASSUMPTION OF RISK / WAIVER OF LIABILITY / INDEMNIFICATION AGREEMENT In consideration of being allowed to participate on behalf of Hall Swim Academy LLC athletic program and related events and activities, the undersigned acknowledges, appreciates, and agrees that: 1. Participation includes possible exposure to and illness from infectious diseases including but not limited to MRSA, influenza, and COVID-19. While particular rules and personal discipline may reduce the risk, the risk of serious illness and death does exist. 2. I KNOWINGLY AND FREELY ASSUME ALL SUCH RISKS, both known and unknown, EVEN IF ARISING FROM THE NEGLIGENCE OF THE RELEASES or others, and assume full responsibility for my participation; and, 3. I willingly agree to comply with the stated and customary terms and conditions for participation as regards protection against infectious diseases. If, however, I observe any unusual or significant hazard during my presence or participation, I will remove myself from participation and bring such to the attention of the nearest official immediately; and, 4. I, for myself and on behalf of my heirs, assigns, personal representatives and next to kin, HEREBY RELEASE AND HOLD HARMLESS (Hall Swim Academy) their offices, officials, agents, and/or employees, other participants, sponsoring agencies, sponsors, advertisers, and if applicable, owners and lessors of premises used to conduct the event ("RELEASES"), WITH RESPECT TO ANY AND ALL ILLNESS, DISABILITY, DEATH, or loss or damage to person or property, WHETHER ARISING FROM THE NEGLIGENCE OF RELEASEES OR OTHERWISE, to the fullest extent permitted by law. I HAVE READ THIS RELEASE OF LIABILITY AND ASSUMPTION OF RISK AGREEMENT, FULLY UNDERSTAND ITS TERMS, UNDERSTAND THAT I HAVE GIVEN UP SUBSTANTIAL RIGHTS BY SIGNING IT, AND SIGN IT FREELY AND VOLUNTARILY WITHOUT ANY INCIDENT.

RELEASE and WAIVER of LIABILITY - hereby hold Hall Swim Academy and its staff free from all liability should any injury or illness befall my child or me while swim lessons are conducted. I have no knowledge of any existing physical impairment that would affect my child's or my participation in this program. In addition, I authorize Hall Swim Academy to use any photographs of my child or me taken during the program for use in publicizing and advertising future Hall Swim Academy swim lessons.

CONSENT, RELEASE and AUTHORIZATION to REPRODUCE PHYSICAL LIKENESS and NAMe - I hereby agree and consent to your photographing, filming, taping, and/or recording my likeness, voice, sound and quotes, knowing that you will incur substantial expense in reliance upon this Consent, Release, and Authorization (this "Consent"), and for other good and valuable consideration, the adequacy and receipt of which is hereby acknowledged, I hereby grant to you and your parent, related and affiliated companies, and their respective licensees and assigns, and the directors, officers, employees and agents of each, forever and throughout the world, the right to use and license and the right to reuse such photographs, films, tapes, and/or recordings of my likeness, voice, sound, quote and my name, in all media, whether now known or hereafter devised, throughout the universe in perpetuity (including, without limitation, in films, newspapers, magazines, on radio, television, commercials, merchandise, video cassette, video disk, exploitations, digitized images, whether for advertising, publicity, or promotional purposes and for any other purpose what so ever, without further compensation to me or any limitation whatsoever. In granting this license, I understand that Hall Swim Academy is not under any obligation to exercise any of its rights, licenses and privileges herein granted. I hereby release Hall Swim Academy from all claims, demands, liabilities, damages, costs and expenses (including, but not limited to, attorney's fees and fees of other professionals) that I may now or hereafter have against Hall Swim Academy arising in connection with the use of my likeness, voice sound, and quote in such photographs, films, tapes and/or recordings and your exercise of the rights hereby granted. This consent shall be binding upon my heirs, personal representatives and me and assigns and shall be governed by and construed under the laws of the State of California. I certify that I am 18 years of age or older. Consent, Release, and Authorization to Reproduce Physical Likeness and Name I hereby agree and consent to your photographing filing, taping and/or recording my likeness, voice, sound and quotes, knowing that you will incur substantial expense in reliance upon this Consent, Release, and Authorization (this "Consent"), and for other good and valuable consideration, the adequacy and receipt of which is hereby acknowledged, I hereby grant to you and your parent, related and affiliated companies, and their respective licenses and assigns, and the directors, officers, employees and agents of each, forever and throughout the world, the right to use and license and the right to reuse such photographs, films, tapes, and/or recordings of my likeness, voice sound, quote and my name, in all media, whether now known or hereafter devised, throughout the universe in perpetuity (including, without limitation, in films, newspapers, magazines, on radio, television, commercials, merchandise, video cassette, video disk, exploitations, digitized images, whether for advertising, publicity, or promotional purposes and for any other purpose what so ever, without further compensation to me or any limitation whatsoever. In granting this license, I understand that Hall Swim Academy is not under any obligation to exercise any of its rights, licenses and privileges herein granted. I hereby release Hall Swim Academy from all claims, demands, liabilities, damages, costs and expenses (including, but not limited to, attorney's fees and fees of other professionals) that I amy now or hereafter have against Hall Swim Academy arising in connection with the use of my likeness, voice sound, and quote in such photographs, films, tapes and/or recordings and your exercise of the rights hereby granted. This consent shall be binding upon my heirs, personal representatives and me and assigns and shall be governed by and construed under the laws of the State of California. I certify that I am 18 years of age or older.

After we receive the registration form, an administrative member will be in touch with you to schedule your first swim lesson. We look forward to speaking with you!

Thank you for submitting the registration form to Hall Swim Academy. Erica, Lauren or Bebe will be in touch with you to schedule your lessons or lifeguarding services within 24-48 hours. if you do not hear from anyone within 48 hours, or need to schedule a lesson right away, please call Bebe at (305) 469-5500.

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