Teacher Registration - Serenity Swim Network® Serenity Swim Network®

Submission of this online Registration Form constitutes acceptance of the terms and conditions of registering with the Lifestyle Swim School, Serenity Swim Network or Serenity Swim. If you are enrolling three or four applicants please fill the form out two times.

To ensure your specific weeks you wish to train, all fees and paper work must be completed upon registration.

I/We agree to defend, pay and save free and harmless Lifestyle Swim School, Inc., Serenity Swim Network and Serenity Swim, the facility owners where lessons are conducted and their respective agents, employees’ actions, judgments and proceedings of any kind or in favor of anyone whomsoever and from and against all injury or property damage arising directly or indirectly out of, from or on account of applicant’s presence at or use of the facilities or participation in any activities or programs applied for hereby or at any time hereafter.

I / We understand missed classes may not be carried over the the next session. I understand that the Lifestyle Swim School, Serenity Swim Network and Serenity swim are unable to grant refunds. We reserve the right to: accept only those who abide by our patient child-centered philosophy; to expel those that do not abide by the philosophy, fail to follow rules, use foul language, or are disrespectful to teachers and/or staff.

By writing our name here, we agree with and will abide by the release form above, Participant #1 First and Last Name *

Nickname, or name you would like to be called if from another country

Email address confirmation & workshop communication will come to you by email *

Address

City

State (US)

Region

Province

Country

Postal Code (in US zip code)

Telephone including area code

Cell Phone

Number of weeks attending

Dates attending

Organization/Company Name

Website

Facebook Page

Other special requirements, questions or assistance needed

So that we can help serve you better, please tell us a little bit about yourself. What are you currently doing? What are you goals in attending our baby swimming workshop? What do you plan do with gentle baby swimming when you return home?

How will you be making payment: Bank wire transfer, Credit card on Paypal, Paypal, check or cash

Name of person or business making actual payment

Participant #2 Name