Water Otters Preferences & Policies

Complete the following form below. When you are finished, click the "Submit Registration Form" button at the bottom of this page. PLEASE NOTE***Submitting your Registration and/or completing the Preferences & Policy Form DOES NOT GUARANTEE LESSON DAYS or TIMES. Payment in FULL is required to reserve any session preferences.

Child #1 Information
First Name:
Last Name:
Age:

Child #2 Information
First Name:
Last Name:
Age:

Parents Details

Email Address:

Parent #1 Name:

Cell Phone#:

Parent #2 Name:

Cell Phone#:

Address Line 1:

Notes for Jennifer:

Address Line 2:

City:

State:

Zip:

Home Phone#:

I am best reached by:

Swimming Sessions There is a one time annual registration fee of $20 per family

Private Lessons - 3 Week Program

Pool location is near
the Encino/Sherman Oaks border

(3 consecutive weeks)
9 lessons = Package Price of $260

New programs start every 3 weeks
Check up to three
9:00am
10:00am
11:00am
12:00am
1:00am
1:20am
2:00am
2:20am
3:00am
3:20pm
4:00pm
4:20pm
5:00pm
5:20pm
6:00pm
6:20pm

Private Lessons - 3 Week Program

Pool location is YOUR WARM POOL located within the San Fernando Valley
and select surrounding areas

(3 consecutive weeks)
6 lessons = Package Price of $360

New programs start every 3 weeks

Check one:
a.m. lessons

*** or ***
p.m. lessons

In the Notes to Jennifer section
Please indicate your Session #, and Days
(Monday & Friday, Monday & Saturday, ....or Friday & Saturday)
Baby & Me - 6 Week Program
Pool location is either YOUR WARM POOL located within the San Fernando Valley or the Enino/Sherman Oaks Pool
(6 consecutive weeks)
6 lessons = Package Price of $100
New Programs start every 3 weeks
Check one:
a.m. lessons

*** or ***
p.m. lessons

In the Notes to Jennifer section
Please indicate your Session #, Day, and Time

AND your Pool Location choice:............... (YOUR WARM POOL or the Encino pool)

Please be sure to check times that your child is most awake and alert. It is recommened that swim lessons not occur too close to nap times or meal times. Please also remember to account for travel time and transition time from other activities.
The schedule fluctuates daily so please submit this form as soon as possible to increase the liklihood of securing your desired time slot.

Terms / Conditions Policies (read carefully)

Keep in mind (please read and initial)

There are no refunds for missed lessons. Please double check your schedule for planned vacations or other events that may interefe with lessons BEFORE regestering.
(INITIAL)
There is no guarantee that the same scheduled lesson time will be available for you in future sessions. If you plan on continuation please schedule future sessions as soon as possible. Your continuation reservation is ensured only if space is available and when payment in full is received.
(INITIAL)
Lessons will be taught on rainy/smoggy days unless Water Otters deems weather conditions unsafe (i.e. snoke due to fire or lightning due to rain). You will be notifid if lessons are to be rescheduled.

(INITIAL)
After your Preferences & Policies form has been received, you will be provided with how and where to send payment, available lesson times, dates, and sessions. Payment in FULL is required to reserve and secure your lesson preferences on the schedule.

Policies

A parent (not guardians, nannies, housekeepers, etc.) is required to be present for the duration of the lessons. Under rare circumstances, other arrangements can be made at Jennifer's discretion. Requests must be in advance and in writing.
Payment is due in full for all sesssion before any lessons begin.
Since lessons are twenty minutes in duration, please arrive on time and have your child ready (i.e. sunscreen applied, dressed in their bathing suit, etc.)
Please avoid feeding your child one half hour prior to your lesson time.
When using pools other than your own, please remember these are private pools and the residents are offering their pool as a courtesy. Please be sure to respect the privacy of the residents.
1. When using the pool of a host please arrive about 5 minutes before the time of your lesson, do not arrive too early, and please leave at the conclusion of the lesson.
2. Only students who are taking a lesson are allowed in the pool. Students are not to use the pool for "free swim". Students are not to play in the pool or on the property before or after lessons.
3. If it is necessary to bring additional children be sure to keep all noise to a minimum and keep them close to you; their safety and any damages to property are your responsibility.

"Water Otters Swim Lessons with Jennifer Golde" is an independent endeavor and not affiliated with any school. Parent affirms that his/her participating child has no illness or condition which makes swimming unrecommended or detrimental to your child's health. (INITIAL) Parent assumes all risks in this regard. (INITIAL) Parent agrees to discuss the importance of cooperation and pool safety with participating child prior to commencement of swimming lessons. (INITIAL)

Your name: Today's Date: Wednesday, 02/22/2012