Different Strokes Swim School - Water safety, swim lessons, water aerobics, backyard lessons

H₂OPE LESSONS

Information

Sessions Times and Fees

We will send a registration form as your confirmation. All participants are required to sign a liability release form before lessons begin.

If you need to, review the steps to attend H2OPE lessons.

To register by phone, click here for details

To register by mail, click here to print the registration form (pdf file).

To register online, fill out the form below:

All participants are also required to sign a
liability release form before lessons begin.

Student Information

First Name

Last Name:

Date of Birth

/ /
mm / dd / yyyy

Gender

Male Female

Diagnosis:

Precautions:

Parent/Guardian Information

First Name:

Last Name:

E-mail:

Home Phone:

Work Phone:

Address

City, State, Zip

Emergency Contact

Name and Number:

Preferred Doctor:

Doctor's Phone:

How did you hear about us?

HYDRO HEALTH & HARRIS H*E*B FITNESS LIABILITY RELEASE

The undersigned desires to utilize the facilities provided by Hydro Health, Different Strokes Swim School, Harris Methodist H*E*B, Bedford Texas, and/or Presbyterian Hospital CVC Center in Dallas, Texas, in its learn-to-swim fitness program, for the purpose of swim instruction and recreation. As a consideration for the right and privilege of being permitted access to the swim program and use of its facilities, the undersigned does hereby release Hydro Health, Different Strokes Swim School, Harris Methodist H*E*B and Presbyterian Hospital CVC Center and each and every one of the employees and instructors working or supervising activities in the learn-to-swim program from any and all liability, of any kind whatsoever, arising out of any physical or mental injury, or death, incurred or suffered by the undersigned or the above-mentioned minor while preparing to use, using or cleaning up after using any of the aquatic, swimming or any other facilities provided by Hydro Health, Different Strokes Swim School, Harris Methodist H*E*B and Presbyterian Hospital CVC Center in its learn-to-swim program. In executing the foregoing release, the undersigned acknowledges and affirms that he or she has carefully read the same and has asked and obtained satisfactory explanation of any part thereof that he or she does not understand. Furthermore, the undersigned acknowledges that he or she is fully aware that there may be a health risk for certain individuals participating in activities involving physical exertion or exposure to heat. The undersigned affirmatively acknowledges that he or she has made the Swim Instructor aware of any limitations suggested by his or her physicians.

By placing a check mark in this box, you
agree to the terms of the above agreement.

By typing in your full name and date in the boxes provided below you agree to the above terms and agree that this is you typing in the information.

Name: Date:

PARENT'S OR GUARDIAN'S ADDITIONAL INDEMNIFICATION

In consideration of (minor's name) ("Minor") being permitted by Hydro Health, Different Strokes Swim School, Harris Methodist H*E*B and Presbyterian Hospital CVC Center to participate in this activity and to use their or anyone else's equipment and/or facilities for this activity, I further agree to indemnify and hold harmless Hydro Health, Different Strokes Swim School, Harris Methodist H*E*B and Presbyterian Hospital CVC Center from any and all Claims which are brought by, or on behalf of Minor, and which are in any way connected with such use or participation by Minor.

By placing a check mark in this box, you
agree to the terms of the above additional indemnification.

By typing in your full name and date in the boxes provided below you agree to the above indemnification and agree that this is you typing in the information.

Name: Date: