Swimmer Information

Participant's Name: *

Birth Date: *

MaleFemale

Parent/Guardian Information

Parent/Guardian's Name: *

Parent/Guardian's Email: *

Parent/Guardian's Phone/Text: *

Schedule

Monday through Friday, one-half hour sessions
May 31st – June 12th, 4:30pm
June 13th – July 12th, 10:00am (if 10:00am session is full, we will offer an additional session at 10:30am)

Cost is $160 per child for a six (6) week session (no prorating). Please make checks payable to: Southern Village Club, 601 Brookgreen Drive, Chapel Hill, NC 27516. PAYMENT IS DUE UPON SIGNUP.

Please note that should your child graduate from the Stingray Academy (be able to swim the length of the pool safely), they are then eligible to join the SVGC Swim Team for the remainder of the season. There will be no additional cost to join the team.

Acknowledgement of Waiver and Cancellation Policy

I hereby assume all risks relating to or arising from swimming lessons at Southern Village Club. I release and absolve, Southern Village Club, its managers, owners, agents, employees, volunteers, and sponsors from all liability associated with the activity and in the event of injury, do expressly waive all claims against them.

 * By checking this box and typing my name below, I am electronically signing my application.

Participant/Parent's Signature (Type your name): *

* Required Information