Adult Registration Form: Adult Registration Form Indemnity Form Part TitleStep 1 of 1APPLICATION FORM (TO BE COMPLETED IN FULL)Select your option: *Adult BeginnerAdult IntermediateWater FitnessPlease tick the correct box relevant to your swimming needs.First Name Last Name Date of Birth: *Employer: Next of Kin ID number: *Address Address Line 1Address Line 2CityState / Province / RegionZip / Postal CodeAfghanistanÅland IslandsAlbaniaAlgeriaAmerican SamoaAndorraAngolaAnguillaAntarcticaAntigua and BarbudaArgentinaArmeniaArubaAustraliaAustriaAzerbaijanBahamasBahrainBangladeshBarbadosBelarusBelgiumBelizeBeninBermudaBhutanBolivia (Plurinational State of)Bosnia and HerzegovinaBotswanaBouvet IslandBrazilBritish Indian Ocean TerritoryBrunei DarussalamBulgariaBurkina FasoBurundiCabo VerdeCambodiaCameroonCanadaCayman IslandsCentral African RepublicChadChileChinaChristmas IslandCocos (Keeling) IslandsColombiaComorosCongoCongo (Democratic Republic of the)Cook IslandsCosta RicaCôte d'IvoireCroatiaCubaCuraçaoCyprusCzech RepublicDenmarkDjiboutiDominicaDominican RepublicEcuadorEgyptEl SalvadorEquatorial GuineaEritreaEstoniaEthiopiaFalkland Islands (Malvinas)Faroe IslandsFijiFinlandFranceFrench GuianaFrench PolynesiaFrench Southern TerritoriesGabonGambiaGeorgiaGermanyGhanaGibraltarGreeceGreenlandGrenadaGuadeloupeGuamGuatemalaGuernseyGuineaGuinea-BissauGuyanaHaitiHeard Island and McDonald IslandsHondurasHong KongHungaryIcelandIndiaIndonesiaIran (Islamic Republic of)IraqIreland (Republic of)Isle of ManIsraelItalyJamaicaJapanJerseyJordanKazakhstanKenyaKiribatiKorea (Democratic People's Republic of)Korea (Republic of)KuwaitKyrgyzstanLao People's Democratic RepublicLatviaLebanonLesothoLiberiaLibyaLiechtensteinLithuaniaLuxembourgMacaoNorth Macedonia (Republic of)MadagascarMalawiMalaysiaMaldivesMaliMaltaMarshall IslandsMartiniqueMauritaniaMauritiusMayotteMexicoMicronesia (Federated States of)Moldova (Republic of)MonacoMongoliaMontenegroMontserratMoroccoMozambiqueMyanmarNamibiaNauruNepalNetherlandsNew CaledoniaNew ZealandNicaraguaNigerNigeriaNiueNorfolk IslandNorthern Mariana IslandsNorwayOmanPakistanPalauPalestine (State of)PanamaPapua New GuineaParaguayPeruPhilippinesPitcairnPolandPortugalPuerto RicoQatarRéunionRomaniaRussian FederationRwandaSaint BarthélemySaint Helena, Ascension and Tristan da CunhaSaint Kitts and NevisSaint LuciaSaint Martin (French part)Saint Pierre and MiquelonSaint Vincent and the GrenadinesSamoaSan MarinoSao Tome and PrincipeSaudi ArabiaSenegalSerbiaSeychellesSierra LeoneSingaporeSint Maarten (Dutch part)SlovakiaSloveniaSolomon IslandsSomaliaSouth AfricaSouth Georgia and the South Sandwich IslandsSouth SudanSpainSri LankaSudanSurinameSvalbard and Jan MayenSwazilandSwedenSwitzerlandSyrian Arab RepublicTaiwan, Province of ChinaTajikistanTanzania (United Republic of)ThailandTimor-LesteTogoTokelauTongaTrinidad and TobagoTunisiaTurkeyTurkmenistanTurks and Caicos IslandsTuvaluUgandaUkraineUnited Arab EmiratesUnited Kingdom of Great Britain and Northern IrelandUnited States of AmericaUnited States Minor Outlying IslandsUruguayUzbekistanVanuatuVatican City StateVenezuela (Bolivarian Republic of)Viet NamVirgin Islands (British)Virgin Islands (U.S.)Wallis and FutunaWestern SaharaYemenZambiaZimbabweCountryTelephone (W) Telephone (Cell) *Email: *MedicalDOES THE SWIMMER HAVE ANY PROBLEMS (MENTAL/PHYSICAL) OR MEDICAL CONDITIONS THAT WE SHOULD BE MADE AWARE OF TO ASSIST US IN KNOWING AND UNDERSTANDING THE SWIMMER?Option *YesNoOther Comments FEES AND COSTS *AgreeLessons are billed monthly, in advance and payable on or before the first of each month. Payment is still due if the swimmer misses classes due to illness or away on holiday etc as their place in the class is reserved for them. One calendar month WRITTEN notice via e-mail or per hand is required when leaving – No WhatsApp or voice note messages will be considered as notice. Notice MAY NOT be given in November or December of a given year. • Group and Private lessons: Refer to the Fees schedule. • A non-refundable annual registration fee of R200 (or R300 per family) is payable at the beginning of February each year. Parents are not required to supply the swimmer with any swimming aids as these will be supplied and covered by the registration fee. Payment can be made via EFT or Debit Order. A R30 penalty will be charge for late payments. If fees are outstanding, swimmers will not be allowed to participate in lessons. Signature Swim Instructor Date / Time Signature Date / Time Welcome to MAKING WAVES SWIM SCHOOL!POLICIES AND PROCEDURES *Agree• There is no registration deadline. Swimmers may register to join class any time subject to availability. • Lessons are approximately 30 minutes for beginners and 45 minutes for Stroke. Lessons are held at the same time each week at Making Waves Swim School, 16 Blue Gum Avenue Mountainside, Gordon’s Bay. • Owing to the complexity of the swimming timetable, no make-up lessons will be accommodated. • Lessons begin promptly at the time you have been allocated. • Please wear a swimming cap. • The swimmer should not eat a meal for at least one hour before the lesson. • Lessons may be cancelled during torrential showers and lightening. • Lessons will continue during school holidays barring a short break in Winter and Summer. • Making Waves Swim School reserves the right to make changes to the policies & procedures as necessary and without prior notification. . This information has been formulated for health and safety purposes and to inform you of the systems in place so that there are no misunderstandings. I understand the rules, guidelines, and fee structure of Making Waves Swim School. I also understand and accept that the fees are payable by the first lesson of each month and that one calendar month’s written notice is required when cancelling lessons. WebsitePreviousNextSubmit Caroline Dersley 083 661 4101 Physical Address: 16 Bluegum Avenue; Mountainside; Gordon’s Bay Website designed by Madredp