aquatics 14800 e. belleview dr. shalom cares programs...
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CLASS OPTIONSRegister by ONLINE, MAIL, FAX, IN PERSON! www.DenverYMCA.org/RegisterOnline.aspx
Aquatics Programs at the J. Leonard Levy Family Wellness Center at Shalom Park
Not sure which class to register your child for?
Call 720 870 2221
As the parent/guardian of the above child, I attest that he/she is physically and mentally fit to be enrolled in and has my permission to participate in the YMCA Aquatics program. I understand that this program serves to introduce my child to the water and demonstrates basic water safety skills. By signing this release of my free will, I hereby indemnify and hold harmless the YMCA from any and all claims, demands, or costs or expenses arising out of any injuries or damage incurred while the above child or I am participating in this program.
Parent Or Guardian Signature: ______________________________________________________________________________ Date: ___________________________________
QUESTIONS? Contact Aquatics at the YMCA call 720 870 2221.
Payment Method
_______ Check _______ Credit Card _______Visa _______ MasterCard _______ Discover
Card Number ________________________________________________________ Expiration Date ____________________________________________________
Signature ____________________________________________________________ Card Billing Address ______________________________________________
_______ YMCA Member _______ Non-Member Total Amount Paid: _______________________________________________________________
Class Name: _______________________________________________________________________ Session Dates: ____________________________________ Time: __________________________________________ Day: ______________________________
Participant’s Name: _________________________________________________________________________________________________________________________________________________________________Age: _______ Birthdate: __________ Sex: _____
School Attending: __________________________________________________________________________________________________________________________________________________________________________________________ Grade: _____________________
Mailing Address: _________________________________________________________________________________________________________________________________________________________________________ City: ________________________ Zip: ________
Home Phone: _________________________________________________________________________________________________________ E-mail Address: _____________________________________________________________________________________________
Mother/Guardian: __________________________________________________________________________________________________ Work Phone: _________________________________________________________________________________________________
Father/Guardian: ___________________________________________________________________________________________________ Work Phone: _________________________________________________________________________________________________
Has your child participated in a YMCA program before? ____ Yes ____ No
The YMCA is a not-for-profit organization. Subject to available resources, no person will be denied membership or program participation by reason of an inability to pay fees. In the event that my payment is returned unpaid, it will be collected electronically. I understand that my account will also be charged $20 for collection service (or the maximum amount allowed by law) and that I will be responsible for any other associated collection costs..
AQUATICS PROGRAMS
Class Time M T W TH Sa
Pike (2 weeks / 1x or 2x a week) 4:30 PM (30 mins) T TH
Eel (2 weeks / 1x or 2x a week) 5:00 PM (30 mins) T TH
Polliwog (2 weeks / 1x or 2x a week) 5:30 PM (30 mins) T TH
Guppy (2 weeks / 1x or 2x a week) 6:00 PM (30 mins) T TH
2-Week SessionsSession Dates:
I: November 5 - December 20No class the week of Thanksgiving (Nov 19-24)
Tuesday & Thursday
1-30 MIN CLASSES/WEEK Member rate $24, non-member rate $36
Aquatics Programs at the J. Leonard Levy Family Wellness Center at Shalom Park
2-30 MIN CLASSES/WEEK
Member rate $48, non-member rate $72
Minimum of 3 participants to run a class.Private & Semi-Private Lessons available. Please fill out a form at the front desk and you will be contacted by an instructor to schedule a time. Prices: Private (1 person) $20 per 30 min lesson & semi private (2 people – must be at the same level) $20 per 30 min lesson.
Pike Ages 3-5Ages 3-5 Beginner Preschool Swimmer who has little to no real experience swimming independently. Children will work on floating, kicking, putting their face in the water, blowing bubbles, a basic paddle stroke, and pool safety.
Eel Ages 3-5Intermediate Preschool Swimmer already be able to (with a float belt): float on back for 10 seconds & paddle on front 10 feet.
Polliwog Ages 6-14 Beginner School-Aged Swimmer who have little experience swimming independently. Children will work on floating, kicking, putting their face in the water, blowing bubbles, basic paddle stroke, and pool safety.
Guppy Ages 6-14 Advanced-Beginner School-Aged Swimmer already be able to: swim front crawl & backstroke each for 5-7 yards (without a float belt), and jump in deep water unassisted.
WARM WATER POOL LESSONS
Shalom Cares 14800 E. Belleview Dr.
Aurora, CO 80015 720 870 2221