/2011-2012-NYAC-Waves-Registration-Form-08

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North York Aquatic Club

Who we are:

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

What we do:

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.

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

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.

Fall Session

Who can join:

Parents like us:

Kids like us:

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.

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

October 3, 2011 - January 27, 2012

Spring Session February 6 – May 25, 2012

Sign up now! 416-785-0430 email: nyacswim@yahoo.ca www.nyac.on.ca Real swimmers don’t make excuses. They Make Waves !


North York Aquatic Club Waves

Locations And Times

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

Fall Session: October 3, 2011- January 27, 2012 ****End of Session Swim Meet:

Tuesday, January 31, 2012

Swimmers Name: _______________________________________________

Spring Session: February 6, 2012 – May 25, 2012 ****End of session Swim Meet:

Gender: M / F

Tuesday, May 29, 2012

Address: ________________________________________________________

Pools location: AY Jackson Downsview SS Forest Hill Havergal College Northern SS

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)

City: _____________________________ Postal Code: __________________ Home Phone #: ________________________________

**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. Please choose session and group:

□ □ □ □ □ □ □ □

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

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

□ Fall □ Spring

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

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

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

Email: ________________________________________ Mothers Name: ______________________________________ Work # _________________________

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

Cell # _______________________

Fathers Name: _______________________________________ Work # _________________________

Cell #_______________________

Medical Information Health Card # _____________________________ Doctors Name: ________________________ Phone #__________________

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

Allergies: ______________________________________________________ Payment of Fees: Fees must be paid in full by a cheque (payable to NYAC ) or credit card $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. (please check one) Single payment due at the registration

One session: Two sessions:

Instalment payments two sessions only

440.00 230.00 840.00

September 20, 2011 January 10, 2012

□ Cheque □ Cheque group 8 □ Cheque

420.00 420.00

449.00 234.50 857.00

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

□ Cheque □ Cheque

428.50 428.50

□ Visa or MC □ Visa or MC

Expiry Date:

Month:

Year:

Credit Card authorization: Card#

Name

Signature

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

Other Medical Conditions: _________________________________________ 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.

Signature of Parent/Guardian

Date

Total Fees Paid


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