Elementary School Swim Program

The Athens Bulldog
Swim Club and the
Athens YWCO present
Elementary School Swim Program
This program is designed to provide novice swimmers an opportunity learn about
competitive swimming. Coaches are certified by USA-Swimming and sessions will focus
on improving swimming technique. Since both the Bulldog Swim Club and the YWCO
believe that good swimming and good grades go hand in hand, those who are not in the
water will have the opportunity to work on homework in a classroom environment.
Snacks will be provided and participants will be supervised at all times.
Facility:
Athens YWCO
562 Research Drive
Athens, GA 30605
706.354.7880
Directors:
Kevin Taylor (Aquatics)
CD Mattocks (Student Supervision)
Dates:
December 3rd through March 6th
There will be no program on days when Clarke County schools are out.
Time:
Tuesdays and Thursdays, 2:45 to 5:30 pm
Pick-up runs from 5:00 to 5:30 pm at the Gym. After 5:30 pm there will be a
$10 late fee per child, with an additional $10 added for every 15 minutes after
that.
Cost:
$160 per child (additional $15 transportation fee)
Fees must be paid prior to the start of the session. A limited number of
scholarships are available (contact the program director for more information).
Payment may be made by cash, check, or credit card (Visa & Mastercard).
There is a $25 penalty for every bounced check.
Transportation will be provided from Barrow Elementary School. Students from other
schools are welcome, but will have to provide transportation.
Registration is available at the Athens YWCO ONLY
For more information call (706) 354-7880 or email kmtaylor85@gmail.com
Registration deadline is November 26th.
www.athensbulldogs.com
www.ywco.org
FOR OFFICE USE ONLY
Swim at the YWCO (Winter 2013/14)
REGISTRATION FORM
o
Program Fee Received ($160) o
Registration Form Received
Taken By Date
(initials)
/
/
o
Transportation Fee ($15, BARROW ONLY)
Child’s Name
Birthday
Home Address
/
/
Grade
Age
School
Gender
City Zip Mother’s Name Father’s Name Mother’s Day Phone Father’s Day Phone Home/Evening Phone Other Parent’s E-mail(s) Does your child live with both parents? If no, which parent? Emergency Contact If Parents Cannot Be Reached:
NameRelationshipPhone
Who else has your permission to pick up your child?
Name RelationshipPhone
Any Medical issues we should know about, physical limitations, food allergies, etc?
Permission and Agreement Statements:
• I have read and agree to the terms explained in this registration packet.
• If emergency care is deemed necessary and I cannot be reached, I authorize the Swim Program staff to act in my behalf
for my child to receive emergency treatment.
• I grant the YWCO and ABSC permission to use photographs of my child for promotional purposes.
• I hereby waive, release, absolve, indemnify, and agree to hold harmless the Young Women’s Christian Organization, its
directors, officers, organizers, sponsors, supervisory staff, participants and any other affiliates for, from, and against all
liability because of any bodily injury, or property damage, known or unknown, which may occur or result from the
participation of the above named child in any and all activities whether the result of negligence or for any other cause of
the Young Women’s Christian Organization. I individually, as a parent/guardian for my child, have read this release and
understood all the terms. I execute it voluntarily and with full knowledge of its significance.
• I understand that this program is not licensed by Bright From the Start, but has received exemption.
Parent’s SignatureDate