The City of Silver Bay will staff the William Kelley pool with a certified lifeguard. If we do not have a certified lifeguard on duty, we will post a warning sign and provide adult supervision



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SUMMER LESSONS/RECREATIONAL SWIMMING
The City of Silver Bay will staff the William Kelley pool with a certified lifeguard. If we do not have a certified lifeguard on duty, we will post a warning sign and provide adult supervision.
PROGRAM RUNS: June 13 through July 21, 2016 (Pool will be open 7:00 a.m. – 3:00 p.m. No evening swim this year).
DEADLINE: Signed and completed forms to be returned to CITY HALL WITH PAYMENT

by FRIDAY, MAY 27 at 4:00 p.m.


FEE: $70 per family for all programs inclusive.

$35 per individual for all programs inclusive.

$ 5 per individual per day for all programs inclusive (Does NOT include swim lessons)
LATE FEE: LATE FEE FOR ALL REGISTRATION AFTER MAY 27, 2016. **CLASSES WILL BE FILLED ON A FIRST COME BASIS AND WILL BE CLOSED WHEN FULL SO PLEASE DO NOT SIGN UP LATE**

$100/family $50/individual


CHECKS: Make checks payable to CITY OF SILVER BAY.
LESSONS: Aqua Kids, Level I, II, III, IV, V, VI, Water Safety Instructor Aide.

Each person taking lessons will have two (2) lessons per week.


ADULT SWIM: Check if desired: Lap Swim _____ Swimnastics ______ Prefer: 7:00 A.M. ____ 8:00 A.M. ____

No Preference: ____


OPEN SWIM: List all family members who may be participating. If student, last grade completed.
Do you have a schedule preference? Mon/Wed ____ or Tues/Thurs ____; A.M. ____ or P.M. ____
PARENTS (or individual, if only one signing up) NAME: ADDRESS

______________________________________________ ___________________________________

(Last Name) (First Name)

PHONE: ______________________________________ ___________________________________




Please list each family member

“X” if lessons not wanted

Grade completed

Aqua Tots

Level I

Level II

Level III

Level IV

Level V

Level VI

Instr.

Aide








































































































































































































































***NOTE: By registering for Park and Recreation classes and programs, the registrant realizes and understands the inherent risks involved in the programs and appreciates the nature of the risks. The applicant holds the City of Silver Bay and the Park and Recreation Department harmless for any damages caused by participation in these programs. Participants registering for activities of a strenuous nature are encouraged to seek a physician’s approval.


AMOUNT PAID: ____________

Check: ________ Cash: _______ _____________________________________________



Parents or Individuals Signature

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