Starfish Swim Team & Swim Lessons Registration Forms 2012 by Charleston Jewish Community Center

IN PARTNERSHIP WITH THE CITY OF CHARLESTON

JCC STARFISH

Brittany Fieldson JCC Starfish Swim Team Coach 843.571.6565 cyberswm12@sbcglobal.net

SWIM TEAM

Practice Begins on Tuesday, May 1, 2012

Dates: Practice starts May 1, 2012 Season ends with the CCAA City Swim Meet July 15, 16, 17

The Charleston JCC, in partnership with the City of Charleston, is accepting registrations for the 2012 JCC Starfish Swim Team. Swimmers ages 5-18 are invited

Practice Times* Ages 8 & under: 4:30 - 5:15pm Ages 9 & older: 5:15 - 6:15pm Friday all swim: 4:00 - 5:00pm

to join the team. The JCC Starfish Swim Team is one of the 23 teams that compete each summer in the Coastal Carolina Aquatic Association Swim League. No prior swim team experience is necessary

Transportation is available! Contact the ‘J’ at 571.6565

Starfish Parents will receive preferred parking & seating for the City Wide Swim Meet!

*Practices are held only in the afternoons. **Includes out of water exercises. Fees: Community/ Non-Resident Fee: $75/child Member/ Resident Fee: $60/child $50/Additional Child

Contact Lauren Dumas at 843.571.6565 x 1004 or laurend@charlestonjcc.org www.charlestonjcc.org

JCC Starfish Swim Team Registration Form CHILD #1 NAME

AGE

BIRTH DATE

CHILD #2 NAME

AGE

BIRTH DATE

CHILD #3 NAME

AGE

BIRTH DATE

PARENT’S NAME

T-SHIRT:

 YS  YM  YL  YXL  AS  AM  AL  XL

T-SHIRT:

 YS  YM  YL  YXL  AS  AM  AL  XL

T-SHIRT:

 YS  YM  YL  YXL  AS  AM  AL  XL

PHONE

ADDRESS

CITY

STATE

ZIP

Payment Information  VISA

NAME (AS IT APPEARS ON CARD) CREDIT CARD #

EXP. DATE

SIGNATURE (REQUIRED)

 MASTERCARD

 CASH

 CHECK MADE PAYABLE TO THE CHARLESTON JCC

3-DIGIT CODE

PLEASE RETURN THIS FORM TO:

Charleston JCC - Attn: Starfish Swim Team 1645 Wallenberg Blvd., Charleston, SC 29407

DATE

Liability Waiver Upon acceptance of this registration, I, myself, my heirs & assigns, hereby release the Charleston JCC & Federation from any and all liability arising from illness, injury or death I or my dependent may suffer as a result of my participation in JCC activities. I have full legal authority to complete this registration for my dependent. I understand the JCC recommends all participants, 18 and under, purchase Accident Insurance. ONE BOX BELOW MUST BE CHECKED:

q I am not interested in accident insurance. We have health insurance that will pay for any injuries. q Accident Insurance - $6 per child (18 years and under)

SIGNATURE OF PARTICIPANT OR GUARDIAN (IF UNDER 18)

Interested in Sponsorship? Please contact Ronneca Watkins at ronnecaw@charlestonjcc.org or 843.571.6565x 322

DATE

Dive in!

2012 Summer Swim Lessons

Lauren Dumas JCC Aquatics Director laurend@charlestonjcc.org 843.571.6565

Private Swim Lessons

Fees

Knowledgeable swim instructors are available to help you or your child meet your personal aquatic goals. All private swim lessons will be personalized for each individual and held one-on-one at a convenient time agreed upon by the participant and the instructor. 30min.

Starfish Lessons

Member Fee:

$16/lesson (min. 3); $70/5 lesson package $19.50/lesson (min. 3); $85/5 lesson package

Community Fee:

Descriptions

Session One 6/3 - 6/24

Session Two 7/1 - 7/22

Session Three 7/29 - 8/19

Session Four 8/19 - 9/16

Fee Per Session

water Babies

Parents and infants acclimate to water through kicking, reaching, blowing bubbles and fun activities. Swimdiaper & bathing suit required.

Sundays 10:00 - 10:30am

Member Fee: $50 Sundays 10:00 - 10:30am Community Fee: $60

Aqua Tots & Parents

For children with previous water adjustment lessons/classes. Parents and children develop water confidence together through basic water exploration and primary swimming skills.

Sundays 10:00 - 10:30am

Member Fee: $50 Sundays 10:00 - 10:30am Community Fee: $60

Tadpoles

Small group lessons designed to build selfconfidence in the water. Water exploration and primary swimming skills Children must be able to attend class without parents in the water.

Sundays 10:00 - 10:30am

Member Fee: $50 Sundays 10:00 - 10:30am Community Fee: $60

Junior Starf ish

Water exploration and assisted skills leading to water independence. Supported floating, kicking and stroke development.

Mon & Wed or Tues & Thurs 3:15 - 3:45pm

Mon & Wed or Tues & Thurs 4:15 - 4:45pm

Mon & Wed or Tues & Thurs 3:15 - 3:45pm

Mon & Wed or Tues & Thurs 4:15 - 4:45pm

Adult Lessons

(Ages 6 months - 2 years) (Ages 2 - 5 years)

Minimum of 4 children

(Ages 3 - 5 years) Minimum of 4 children

Minimum of 4 children

(Private lessons)

Never too late - overcoming fear of water, emphasis is placed on water safety & self help rescue skills (30min).

Member Fee:

$77 $88

Community Fee: Member Fee:

Call for appointment - 571.6565

$17

Community Fee:

$20.50

*All Baby and Junior Starfish Lessons require a Minimum 4 Participants; Maximum 8 Participants

CHILD #1 NAME

AGE

DATE OF BIRTH

CHILD #2 NAME

AGE

DATE OF BIRTH

CHILD #3 NAME

AGE

 Water Babies  Aqua Tots & Parents

 SESSION 1  SESSION 2

 Private Swim Lessons

 Tadpoles  Junior  Adult Lessons

 SESSION 3  SESSION 4

 3 LESSONS  5 LESSONS

DATE OF BIRTH

JCC Starfish Swim lessons Registration Form PARENT’S NAME

CALL FOR APPOINTMENT

TOTAL COST

PHONE

ADDRESS

CITY

STATE

ZIP

Payment Information  VISA

NAME (AS IT APPEARS ON CARD) CREDIT CARD #

EXP. DATE

SIGNATURE (REQUIRED)

 MASTERCARD

 CASH

3-DIGIT CODE

 CHECK MADE PAYABLE TO THE CHARLESTON JCC PLEASE RETURN THIS FORM TO:

Charleston JCC - Attn: Swim Lessons 1645 Wallenberg Blvd., Charleston, SC 29407

DATE

q I am not interested in accident insurance. We have health insurance that will pay for any injuries. q Accident Insurance - $6 per child (18 years and under)

SIGNATURE OF PARTICIPANT OR GUARDIAN (IF UNDER 18)

DATE