Events Starts, turns and stroke clinic, with Coach Tony Pineiro (8-11 years old at 1:00Pm / 12-15 years old 2:30 Pm) BUTTERFLY 1st Saturday of the month BACKSTROKE 2nd Saturday of the month BACKSTROKE 3RD Saturday of the month FREESTYLE 4th Saturday of the month Student Name : *Age: *AddressCityZIP / Postal CodeEvent DateEvent TimeHoursMinutesAMPMParent/guardian name: *Phone number: *Email address: *Emergency contact:Allergies:Special needs:Parents must supervise their children before and after their swimming class. Please do not allow your child to enter the pool until the instructor is ready to begin their class. . Under no circumstances will children be allowed to remain in the pool after class.I've read the above and agreeI understand photos and video are taken at Alani Aquatic Center and may be used for internal marketing to our clients (e-newsletters, facility flyers and posters, social media etc.) I understand that names are never printed with the photos of children.I've read the above and agreeIn consideration of being allowed to participate in any way swimming program at Alani Aquatic Center, its related events and activities, the undersigned, acknowledge, appreciate, and agree that: 1. The risk of injury from the activities involved in this program is significant, including the potential For permanent paralysis and death, and while particular skills, equipment, and personal discipline May reduce this risk, the risk of serious injury does exist; and, 2. I knowingly and freely assume all such risks, both known and unknown, even if arising from the negligence of the releases or others, and assume full Responsibility for my participation; and 4. I, for myself and on behalf of my heirs, assigns, personal representatives and next of kin, hereby Release, indemnify, and hold harmless Alani Aquatic Center, Rolando and Leyanes Lopez. . Their officers, officials, agents and/or employees, other participants, sponsoring agencies, sponsors,. This is to certify that I, as parent/guardian with legal responsibility for this participant(s), do consent and agree to His/her release as provided above of all the Releases, and, for myself, my heirs, assigns, and next of kin, I Release and agree to indemnify and hold harmless the Releases from any and all liabilities incident to my minor Child's involvement or participation in these programs as provided above, even if arising from the negligence of the releases, to the fullest extent permitted by law.I've read the above and agreeSubmit registration