YEAR ROUND LESSONS
Information
Sessions Times and Fees
Locations

Register

Special Event!

2008 Spring Break
Learn to Swim Camp

North Lake Aquatic Center

March 17 - 20
5:30pm or 6:15pm
April 15 - May 1
5:15pm, 5:55pm
or 6:25pm
May 13 - 29
5:15pm, 5:55pm
or 6:25pm


Call us at
817-649-SWIM (7946)
or
complete our Contact form
for
registration information.


Special Event!

Register

We require payment in advance to hold your class. We will send a registration form as your confirmation. All participants are required to sign a liability release form before lessons begin.

We accept cash, check, Visa and MasterCard.

boxTo register by phone, click here for details

boxTo register by mail, click here to print the registration form (pdf file) Fill out form and enclose it with a check made payable to Different Strokes Swim School and/or enclose your credit card information. Credit card account number, expiration date, and complete name of card holder as it appears on the card.

boxTo 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
   
Water Comfort Level
   
Previous Swim Lessons Yes   No 
Where?
 
Session Selection
Preferred Session :
Preferred Time:
 
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, and Harris Methodist H*E*B in its learn-to-swim fitness program in Bedford, Texas, 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, and Harris Methodist H*E*B 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 and Harris Methodist H*E*B 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 and Harris Methodist H*E*B 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 and Harris Methodist H*E*B 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:

 
   

 

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