Swim Lesson Registration Parent's InformationGuardian's Name* First Last Guardian's Email* Guardian's Phone*Child's InformationChild must be an active soac memberChild's Name* First Last Date of Birth* MM slash DD slash YYYY Swimming Experience*NOVICE (new to swimming)INTERMEDIATE (swims independently, but with little knowledge of form)ADVANCED (knows strokes; wants to improve technique))PLEASE LIST ADDITIONAL SIBLINGS AND THEIR AGES IF INTERESTED IN SEMI-PRIVATE LESSONS*Type N/A if not applicablePLEASE SELECT ONE FROM EACH OF THE FOLLOWING:Pricing for PRIVATE lessons.Private lessons are available for one-on-one instruction in the SOAC Pool. 4 (30 minutes lessons) with Alex 8 (30 Minutes lessons) with Alex 12 (30 Minutes lessons) with Alex 4 (30 Minutes lessons) with Isabella 8 (30 Minutes lessons) with Isabella 12 (30 minutes lessons) with Isabella Pricing for SEMI-PRIVATE lessons.Semi-private lessons are available for up to 3 siblings per 1 session. 4 (30 Minute lessons) with Alex 8 (30 Minute lessons) with Alex 12 (30 Minute lessons) with Alex 4 (30 Minute lessons) with Isabella 8 (30 Minute lessons) with Isabella 12 ( 30 Minute lessons) with Isabella PREFERRED TIME OF DAY Morning Early Afternoon Evening PLEASE NOTATE ANY REQUESTS, CONFLICTS, OR UNAVAILABLE DATES AND TIMES. PLEASE ALSO NOTATE ANY SPECIFIC LEARNING OR SENSORY NEEDS IF APPLICABLE.*Please type N/A if not applicableMembership Type* Member Non-Member - must join prior to lessons Payment OptionsONCE YOUR FORM IS SUBMITTED, YOUR LESSONS PACKAGE WILL BE CONFIRMED AND SCHEDULED, THEN YOUR CHARGES WILL BE PLACED ON YOUR SOAC ACCOUNT FOR BILLING.Method of pay* SOAC Account Cancellation Policy*It is my understanding that if I fail to cancel a scheduled fee-based service in some legible form (by text or email) more than 24 hours prior to that scheduled service, the cost of that service will not be refunded or rescheduled. A lesson can only be rescheduled twice for personal reasons; any more than 2 reschedule attempts will result in a loss of that lesson. Weather is the exception; we will reschedule due to conflicts with mother nature. I agree Waiver*By Clicking "I agree" below, I acknowledge every member, family member, and guest using the Club’s facilities does so at his or her own risk, and the Club is not responsible for any injuries occurring to such persons. The undersigned parent and natural guardian does hereby represent that he/she is, in fact, acting in such capacity, has consented to his/her child or ward’s participation in the Southern Oaks Athletic Club (SOAC) activities and agrees to waive, release and discharge from any liability, loss, cost, claim, or damage whatsoever Southern Oaks Athletic Club and its owners, employees, and agents which may be imposed upon said parties because of any defect in or lack of such capacity to so act and release said parties on behalf of the minor and the parents or legal guardian. Furthermore, I agree to indemnify and hold harmless the entities or persons mentioned above from any and all liabilities or claims relating to or arising out of their use of the Club’s facilities and participating in the activities and events. I agree