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Swim Lesson Program Registration

Off The Deep End Aquatics, Inc. and Texas Health Harris HEB Physical Medicine and Rehabilitation

We require payment in advance to hold your class. We will send a registration form as your confirmation. All participants are required to sign a liability release form before lessons begin.

We accept Cash, Check, and Credit Cards.

To register by phone, call 682-200-7865.

To register by mail, Click Here to print the Registration, Liability Release and Indemnification form (pdf file). Fill out form and enclose it with a check made payable to Off The Deep End Aquatics or enclose your credit card information. Credit card account number, expiration date, cvc, and complete name of card holder as it appears on the card.

To register ONLINE for the Learn To Swim Program by Off The Deep End Aquatics at the
Texas Health Harris HEB Physical Medicine and Rehabilitation, fill out the form below:

One Session = Twice/Wk for 3 weeks, Tuesday and Thursdays

Student Information

(If student under 18, please add Parent/Guardian name)

Session Selection:

A value is required.

A value is required.

, TX

Emergency Contact Information

 

PARENT'S OR GUARDIAN'S LIABILITY RELEASE AND INDEMNIFICATION

The undersigned desires to utilize the facilities provided by Off The Deep End Aquatics, Inc., and Texas Health Harris HEB Physical Medicine and Rehabilitation in its learn-to-swim fitness program in Euless, Texas, for the purpose of swim instruction and recreation.  As a consideration for the right and privilege of being permitted access to the swim program and use of its facilities, the undersigned does hereby release Off The Deep End Aquatics, Inc., and Texas Health Harris HEB Physical Medicine and Rehabilitation and each and every one of the employees and instructors working or supervising activities in the learn-to-swim program from any and all liability, of any kind whatsoever, arising out of any physical or mental injury, or death, incurred or suffered by the undersigned or the above-mentioned minor while preparing to use, using or cleaning up after using any of the aquatic, swimming or any other facilities provided by Off The Deep End Aquatics, Inc. and Texas Health Harris HEB Physical Medicine and Rehabilitation in its learn-to-swim program. 

In executing the foregoing release, the undersigned acknowledges and affirms that he or she has carefully read the same and has asked and obtained satisfactory explanation of any part thereof that he or she does not understand.  Furthermore, the undersigned acknowledges that he or she is fully aware that there may be a health risk for certain individuals participating in activities involving physical exertion or exposure to heat.  The undersigned affirmatively acknowledges that he or she has made the Swim Instructor aware of any limitations suggested by his or her physicians.  

In consideration of student named above being permitted by Off The Deep End Aquatics, Inc. and Texas Health Harris HEB Physical Medicine and Rehabilitation to participate in this activity and to use their or anyone else's equipment and/or facilities for this activity, I further agree to indemnify and hold harmless Off The Deep End Aquatics, Inc. and Texas Health Harris HEB Physical Medicine and Rehabilitation from any and all Claims which are brought by, or on behalf of the student, and which are in any way connected with such use or participation by the student.

Please make a selection.

By typing in your full name and date in the box provided below you agree to the above Liability Release and Indemnification, and agree that this is you typing in the information.  

A value is required.

 

For more information on any Water Aerobics, Aquatic Exercise or Swimming Class, call Off The Deep End Aquatics at

(682) 200-7865

 

 
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