Name *

First Name

Last Name

Phone *

(###)

###

####

Secondary Phone

(###)

###

####

Address *

Address 1

Address 2

City

State/Province

Zip/Postal Code

Country

Student #1 Name *

First Name

Last Name

Birthday *

MM

DD

YYYY

Student #2 Name

First Name

Last Name

Birthday

MM

DD

YYYY

Student #3 Name

First Name

Last Name

Birthday

MM

DD

YYYY

Make-Up Policy *

We currently offer make-ups on a first come, first serve basis. Make ups are not guaranteed and do not carry over to the next season. For more details view our policy page.

Yes I have read and agree to Canyon Swim School's Make-Up Policy

Waiver/Release *

I HAVE READ AND UNDERSTAND THE FOLLOWING WAIVER/RELEASE AND AGREE TO ITS TERMS AND CONDITIONS........................................................... In consideration of being allowed to participate in the activities of swimming, diving and/or water polo, I agree to release Canyon Swim School and any owner, partner and/or employee from negligence to the fullest extent permitted by law, for any complication or injury that may happen to the above-listed student(s), family members and/or me while at Canyon Swim School. I understand swimming, diving and/or water polo activities can be dangerous and that a full range of possible known and unknown injuries can occur. This includes, but is not limited to, permanent disability and/or death. I have communicated in writing to Canyon Swim School any medical issues and/or traumatic experiences of the above-listed student(s), and covenant to communicate in writing prior to the above-listed student's(s') participation in any swimming, diving and/or water polo any change to those medical issues and/or traumatic experiences. I have read the foregoing, in addition to Canyon Swim School's policies on registration, payment, cancellation, refunds, make-ups, swim diapers and parking, and understand their content. I consent to the use of any and all photographs and/or videos taken of the above-listed student(s), family members and/or me at Canyon Swim School, waiving any and all rights to compensation for their use in advertising for Canyon Swim School. This WAIVER/RELEASE shall remain in effect for as long as the above-listed student(s) participates in the activity of swimming, diving and/or water polo at Canyon Swim School or until expressly revoked in writing by me.

Yes, I understand.