Swim lesson session 1 - 11:00-11:30 Lessons will take place June 1-June 12 (Monday-Thursday) (Monday-Thursday) from 11:00 am - 11:30 am. Friday will be a make-up day if we need to cancel a class due to weather. "*" indicates required fields 1Parent Info & Emergency Contact2Participant Info & Waiver3Payment Details Registrant InformationMember/Non-member* I am a member I am not a member Bond #*Please enter your bond number. If you are not a Bond member enter 9999.Parent Name* First Last Email* Phone*Emergency Contact* First Last Emergency Contact Phone* Swimmer EnrollmentIf you do not see a specific class in the drop down that means the class is full. If you wish to be added to a waitlist, then please fill out the waitlist form on the swim lesson main page.Swimmer's Name* First Last Age*Skill Level*Level 1 - Introduction to Water SkillsLevel 2 - Fundamental Aquatic SkillsLevel 3 - Stroke DevelopmentLevel 4 - Stroke ImprovementLevel 5 - Stroke RefinementLevel 6 - Swimming and Skill ProficiencyParent/TotPlease check the skills your child is able to perform for the level you signed up for. By choosing this level for your child, you are verifying your child can complete the following skills required to pass the previous level. If your child can not perform all of the skills below, then please sign your child up for at least one level down. This ensures that swimmers are in the appropriate level for their skill set so that instructors can teach all swimmers in the group. Level 1 Requirements* Able to blow bubbles Demonstrates front and back floats with some assistance Level 2 Requirements* Successfully completed the Level 1 requirements Can enter and exit the pool independently Front and back float for 5 seconds Level 3 Requirements* Successfully completed the Level 2 requirements Can float for at least 15 seconds Swim on front and back for 5 body lengths Level 4 Requiements Successfully completed the Level 3 requirements Can swim front crawl and elementary backstroke for 25 yards Can tread in deep water Level 5 Requirements* Successfully completed the Level 4 requirements Can swim breaststroke Swim front crawl and elementary backstroke for 25 yards Level 6 Requirements* Successfully completed the Level 5 requirements Can dive off of diving board Can swim all strokes continuously Level 6 Requirements* Successfully completed the Level 5 requirements Can dive off of diving board Can swim all strokes continuously Consent* I read the waiver and agree to consent:I hereby consent to my child participating in swim lessons at Farmstead Swim & Racquet Club. I have provided contact details in case of emergency. I confirm that all details are correct and I am able to give parental consent for my child to participate in all swim lesson activities. I understand that while my child is participating, coaches take every reasonable precaution to ensure that accidents do not happen, they cannot be held responsible for any loss, damage or injury suffered by my child. Additionally, I understand that Farmstead Swim And Racquet Club has taken reasonable steps to minimize the spread of COVID-19 at its premises, including the pool and surrounding areas (the “Club Facilities”), in accordance with federal, state and local guidelines. I acknowledge and agree that Farmstead cannot completely eliminate the spread of disease or illness, including COVD-19. Accordingly, I hereby assume all risk associated with the contraction of COVID-19 in exchange for access to the Club Facilities. PaymentMember Cost* Price: Non-Member Cost* Price: Total Cost Credit Card American ExpressDiscoverMasterCardVisaSupported Credit Cards: American Express, Discover, MasterCard, Visa Card Number Expiration Date Month Month010203040506070809101112 Year Year20262027202820292030203120322033203420352036203720382039204020412042204320442045 Security Code Cardholder Name Refund policy* I agree to the refund policy.By agreeing to the payment policy I understand that no refunds or credit will be given for any reason. In the event there is any disruption in the schedule we will do everything we can to reschedule the lesson/event. If the lesson/event cannot be rescheduled it will be up to the discretion of the FSRC Board to determine a possible refund/credit.Order Token