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PRIVATE SWIM LESSONS KERNERSVILLE FAMILY YMCA 1113 West Mountain Street, Kernersville NC 27284 P 336 996 2231 www.kernersvilleymca.org Our Mission: “Helping people reach their God-given potential in spirit, mind and body.” A United Way Agency. Financial Assistance available. IF YOU HAVE A FAVORITE SWIM LESSON INSTRUCTOR, YOU MAY REQUEST HIM/HER! At the YMCA of Kernersville, we strive to help the members in our community by teaching and development life-long skills such as learning how to swim and staying safe around aquatic environments. Whether you are looking for help your child pass the Y swim test, train for a triathlon, or just need some extra 1-on-1 instruction in the water, we have coaches and instructors to fit your needs. Schedule lessons at your convenience, Private and Semi-Private Lessons are for YOU! PRIVATE SWIM LESSONS 3 Private Swim Lessons $90 Members $165 Potential Members 6 Private Swim Lessons $150 Members $300 Potential Members 9 Private Swim Lessons $210 Members $390 Potential Members Each Private Lesson is 30 minutes in length. SEMI-PRIVATE SWIM LESSONS (2-3 PARTICIPANTS) 3 Semi-Private Swim Lessons $135 Members $210 Potential Members 6 Semi-Private Swim Lessons $240 Members $360 Potential Members 9 Semi-Private Swim Lessons $320 Members $450 Potential Members Each Private Lesson is 30 minutes in length. Semi-Private lessons are 2 or 3 participants and are total price, not price per child. For more information contact: Erin Brewer, Aquatics Coordinator at [email protected] or 336.996.2231 TIMES & DATES Lessons can be scheduled around student and instructor’s availability within the pool’s operating hours. We strive to pair each student with a coach or instructor that fits your needs.

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Page 1: PRIVATE SWIM LESSONS - YMCA of Northwest North Carolinaymcanwnc.org/wp-content/.../2017/01/KV-PRIVATE-SWIM-LESSON-FL… · PRIVATE SWIM LESSONS KERNERSVILLE FAMILY YMCA 1113 West

PRIVATESWIM LESSONS

KERNERSVILLE FAMILY YMCA1113 West Mountain Street, Kernersville NC 27284P 336 996 2231 www.kernersvilleymca.orgOur Mission: “Helping people reach their God-given potential in spirit, mind and body.”A United Way Agency. Financial Assistance available.

IF YOU HAVE A FAVORITE SWIM LESSON INSTRUCTOR, YOU MAY REQUEST HIM/HER! At the YMCA of Kernersville, we strive to help the members in our community by teaching and development life-long skills such as learning how to swim and staying safe around aquatic environments. Whether you are looking for help your child pass the Y swim test, train for a triathlon, or just need some extra 1-on-1 instruction in the water, we have coaches and instructors to fit your needs. Schedule lessons at your convenience, Private and Semi-Private Lessons are for YOU!

PRIVATE SWIM LESSONS3 Private Swim Lessons $90 Members $165 Potential Members

6 Private Swim Lessons $150 Members $300 Potential Members

9 Private Swim Lessons $210 Members $390 Potential Members

Each Private Lesson is 30 minutes in length.

SEMI-PRIVATE SWIM LESSONS (2-3 PARTICIPANTS) 3 Semi-Private Swim Lessons $135 Members $210 Potential Members

6 Semi-Private Swim Lessons $240 Members $360 Potential Members

9 Semi-Private Swim Lessons $320 Members $450 Potential Members

Each Private Lesson is 30 minutes in length. Semi-Private lessons are 2 or 3 participants and are total price, not price per child.

For more information contact: Erin Brewer, Aquatics Coordinator at [email protected] or 336.996.2231

TIMES & DATESLessons can be scheduled around student and instructor’s availability within the pool’s operating hours. We strive to pair each student with a coach or instructor that fits your needs.

Page 2: PRIVATE SWIM LESSONS - YMCA of Northwest North Carolinaymcanwnc.org/wp-content/.../2017/01/KV-PRIVATE-SWIM-LESSON-FL… · PRIVATE SWIM LESSONS KERNERSVILLE FAMILY YMCA 1113 West

PRIVATE SWIM LESSONS REGISTRATION FORM

Preferred Coach/ Instructor__________________________________________________________________________________________________________________________________

Last Name___________________________________________________________ First Name_________________________________________________________

Mailing Address ___________________________________________________________________________________________________________________________

Participant DOB____________________________________________________

Important Medical Information________________________________________________________________________________________________________________________________

Parent Name_______________________________________________________________________________________________________________________________

Parent DOB_________________________________________________________

Home # _____________________________________________________________ Alternate #________________________________________________________

Email Address _____________________________________________________________________________________________________________________________

Emergency Contact #_____________________________________________________________________________________________________________________

1) I hereby certify that my child is in good health and capable of safe participation in YMCA Aquatic Programs. I assume all risk(s) and hazards incidental to the conduct of this program. I release the YMCA of Northwest North Carolina, staff and all volunteers of any liability arising from my child’s participation in this program.

2) In the event that I cannot be reached to make arrangements for emergency medical attention at the time of an illness or accident, I hereby authorize the YMCA of Northwest North Carolina to transport my child to the nearest medical facility for treatment deemed necessary.

3) I understand that there is a registration deadline which the YMCA must enforce. I understand that there is a minimum of 3 participants required to constitute a class for swim lessons. If there is a lack of participation the YMCA will notify the participants with an option of selecting another class or receiving a refund.

I give my permission to have my child’s photo taken for YMCA publicity. Yes _____ No _____

__________________________________________________________________________________ __________________________________________Parent/Guardian Signature Date