/2011-2012-NYAC-Waves-Registration-Form-06

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Swimmers are introduced to the four competitive strokes, dives and turns. Emphasis is on body position, kicking, recovery and pull. We teach teamwork and sportsmanship within a fun competitive environment.

Anyone between the ages of 6-14 who can swim 25 meter either back or front crawl. They should be at least a level 6 in swimming and comfortable in the deep end.

Because we have certified coaches, convenient times and locations, and their kids learn to swim much faster than traditional swimming lessons.

Because they like being part of a team, making friends, and improving their swimming skills quickly.

What we do:

Who can join:

Parents like us:

Kids like us:

It’s not how fast you swim, but how you swim fast!

A developmental swim team that introduces swimmers into the sport of competitive swimming.

Who we are:

Real swimmers don’t make excuses. They Make Waves!

416-785-0430 email: nyacswim@yahoo.ca www.nyac.on.ca

Sign up now!

February 6 – May 25, 2012

Spring Session

October 3, 2011 - January 27, 2012

Fall Session

Learn to swim, learn to train, learn to race.

North York Aquatic Club


Tuesday, January 31, 2012

50 Francine Dr. (Leslie & Steeles) 7 Hawkside Rd. (Keele & Wilson) - New Location! 730 Eglinton Ave (east of Bathurst) 1251 Avenue Rd (south of Lawrence) 851 Mt.Pleasant Ave (north of Eglinton)

Tuesday, May 29, 2012

Group 1 Group 2 Group 3 Group 4 Group 5 Group 6 Group 7 Group 8

Forest Hill CI Havergal College Northern SS Northern SS Northern SS Downsview SS AY Jackson SS Newtonbrook SS

□ Fall □ Spring

Tuesday & Thursday Tuesday & Thursday Monday & Wednesday Tuesday & Thursday Tuesday & Thursday Tuesday & Thursday Tuesday & Thursday Thursday

Signature

Expiry Date:

Month:

428.50 428.50

449.00 234.50 857.00

Year:

□ Visa or MC □ Visa or MC

□ Visa or MC □ Visa or MC group 8 □ Visa or MC

Please mail, e-mail or fax your registration to NYAC office, groups will be filled on first come first serve basis.

Name

Card#

□ Cheque □ Cheque

□ Cheque □ Cheque group 8 □ Cheque

420.00 420.00

440.00 230.00 840.00

September 20, 2011 January 10, 2012

Two sessions:

One session:

Credit Card authorization:

Instalment payments two sessions only

(please check one) Single payment due at the registration

$25 00 will be charged for non-sufficient payment. 2% service charge is included in fees payment paid by credit card. You will receive a full refund minus $20.00 administration fee if NYAC office receives request in writing before session begins and a pro-rated refund (# of practices attended) minus $30.00 administration fee when a NYAC office receives request in writing after session begins.

Payment of Fees: Fees must be paid in full by a cheque (payable to NYAC ) or credit card

5:00-6:00 pm 7:15-8:15 pm 5:00-6:00 pm 5:00-6:00 pm 6:00-7:00 pm 6:30-7:30 pm 5:00-6:00 pm 6:30-7:30 pm

October 3, 2011 – January 27, 2012 February 6,2012 - May 25, 2012

Please note all the Waves groups are the same level, number indicates location only

□ □ □ □ □ □ □ □

Please choose session and group:

**Please note that practice schedule is subject to change based on enrollment, pool availability and statutory holidays. A list of exception dates will be available on NYAC web site in October.

AY Jackson Downsview SS Forest Hill Havergal College Northern SS

Pools location:

****End of session Swim Meet:

Spring Session: February 6, 2012 – May 25, 2012

****End of Session Swim Meet:

Fall Session: October 3, 2011- January 27, 2012

Locations And Times

Date of Birth (dd/mm/yy):____________________

Cell # _______________________

Cell #_______________________

Signature of Parent/Guardian

Date

Total Fees Paid

I give permission for my child to participate in the NYAC Waves program and agree that North York Aquatic Club, Havergal College and TDSB, its employees, officers, Board of Governors and agents will not be held responsible for any accident or loss however caused and agree to release them from all claims and damages which may arise as a result of such accident or loss. In signing this consent and release agreement, I hereby acknowledge that I have read and understood the conditions and certify that my child is in good physical health and that there is no medical reason why he/she should not attend. If reasonable attempts to contact parents or guardian are unsuccessful, the parent or legal guardian authorizes NYAC, its Board of Directors, coaches and/or any representative of the club to authorize all necessary emergency medical, surgical or dental aid to the swimmer as may be necessary should swimmer suffer an injury or illness while participating in NAYC activities and agrees to pay for all the medical and any other related expenses incurred in such event.

Other Medical Conditions: _________________________________________

Allergies: ______________________________________________________

Doctors Name: ________________________ Phone #__________________

Health Card # _____________________________

Medical Information

Work # _________________________

Fathers Name: _______________________________________

Work # _________________________

Mothers Name: ______________________________________

Email: ________________________________________

Home Phone #: ________________________________

City: _____________________________ Postal Code: __________________

Address: ________________________________________________________

Gender: M / F

Swimmers Name: _______________________________________________

2275 Bayview Ave., Proctor Field House, Toronto, ON M4N 3M6 PH: (416) 785-0430, FX: (416) 785-9697, e-mail:nyacswim@yahoo.ca

North York Aquatic Club Waves


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