Club Aquatique BEACON HILL Swimming Pool Club CELEBRATING 50 YEARS! 2017 Membership Application Procedure

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1 Club Aquatique BEACON HILL Swimming Pool Club CELEBRATING 50 YEARS! 2017 Membership Application Procedure In order to become a member of Beacon Hill pool, please provide the following 5 items: 1. Membership application form (page 1) 2. Pool information page (page 2: must include the name of all family members and please be sure to provide emergency contact information) 3. Volunteer form (page 3) 4. Photo of each member (Every member must have a passport sized photo on file. Children s should be updated every 2 years and adults should be updated every 5. At times, photos can get damaged or lost so you may be asked to provide replacements) 5. Payment by cash,cheque or via paypal ( ). Please make cheques payable to: Beacon Hill Swimming Pool Club. Drop off the above information in a sealed envelope: a) At the Beacon Hill Chalet (beside the pool at 100 Harwood Gate in Beaconsfield) on Sunday, May 7 st between 1-4pm; b) To the membership director at 258 Milton (before June 1st st if you want to take advantage of the early bird discount rate). Questions? You can submit any inquiries through the Beacon Hill Pool web site: Or by sending an to the Membership Director at:

2 Club Aquatique BEACON HILL Swimming Pool Club Additional information you probably want to know: OLYMPIC WAY SWIMMING LESSONS Beacon Hill Pool will continue teaching the Olympic Way lessons instead of the Red Cross program. Please see separate attachment for explanation of the different Olympic Way levels before indicating the level for your child (available as an attachment with the registration , online from our website or upon request). Each child may pre-register for 3 day time sessions or 1 evening session. Space permitting, you may register for 1 additional session (day or evening). Please check with lifeguards prior to session for availability. Refer to Important dates for sessions dates. Note: Change from 2016: Evening lessons will be on Tuesday and Thursday (i.e twice a week) for 4 weeks. Registration at the pool is space permitting only. ***Please remember to record which sessions you chose*** OTHER PROGRAMS Mom s and tots, water polo, synchro and diving lessons are held during morning lessons and are open to anyone who wants to attend. Pre-registration is not required. Eligible teens can sign up for Bronze Medallion and Bronze Cross classes, Tuesday s 6-9pm (please note that there is an additional fee for these courses). Adults can attend aqua-fit held during morning lessons (check the lesson board for a time) and can attend stroke improvement/master conditioning workouts (Tuesday, Thursday 8-9pm and Saturdays 5-6pm). Pre-registration not required. TEAMS Please get more information about swim team, water polo, diving and synchronized swimming at the pool. Important Dates for 2017: Deadline for early bird discount May 31 Pool opens / opening BBQ June 17 (rain date June 18) Team tryouts & practices start June 26 50th Anniversary July 15 1 st Swim meet June 28 Pancake Breakfast July 30 (tentative) Adult Party Aug 12 Hamburger Happening Aug 26 Swimming lessons session: 1 June 26 July 6 2 July 10 July 20 3 July 24 Aug 3 4 Aug 7 Aug 17 Evening lessons are from 6-7pm Tuesday and Thursday Session: 1 June 27 July 20 2 July 25 - Aug 17 don t forget to record which sessions you picked *Note: Days and times are subject to change. Please refer to our website.

3 Page 1 of Membership Application Club Aquatique BEACON HILL Swimming Pool Club 110 Harwood Gate Beaconsfield (courier/mailing address: 258 Milton, Beaconsfield, QC, H9W 1K3) Family name:_ returning new (Usually the most common last name of the children which we will file your membership under) # seniors (55+) # adults (18-54) # teens (13-17) # school aged (5-12) # under 5 Address: Postal Code: City: _ Telephone: When possible, I prefer my correspondence in English French Type of membership: Family membership* $395 Adult only membership* (18+ in same household) $275 Seniors membership (55+ no children) $250 Teenager membership (no family membership required) $225 *INCLUDES $50 EARLY BIRD DISCOUNT FOR RENEWAL PAID BEFORE JUNE 1 ST Cheques to be made payable to Beacon Hill Swimming Pool Club (NSF fee $25) * After June 1, 2017 prices are as follows: -Family membership: $445 -Adult only membership (18+ in same household): $325 Signature of Applicant indicates that: -I agree to follow the rules of the pool which are available on line, at the pool or upon request -children may be sent home without prior notice because of inappropriate behavior or if the pool is closed due to power failure or inclement weather -I understand that our membership can be verified at each visit and that an additional fee is paid at the gate for all guests - I am aware that inflatable arm supports, bubbles and swim suits with inserted flotation panels are not permitted. Certified lifejackets may be used during free swim if an adult is in the water at all times. Signature: _ Date : This area is for pool use only please admin #:_ # family members: # CFTR issued Member since: Membership fee paid: $ cash /cheque # Forms received Photos received Type family Page 2 missing adults/children adult Page 3 previous senior Additional notes:

4 Page 2 of 3 Club Aquatique BEACON HILL Swimming Pool Club 2017 Pool information FAMILY NAME: ADDRESS:_ (Usually the most common last name of the children which we will file your membership under) (#, street) Swimming lessons dates : Session 1: June 26 July 6 Session 2: July 10 July 20 (Please choose only 3 Session 3: July 24 Aug 3 Session 4: Aug 7 Aug 17 or 1 evening) Evening Session 1: June 27 July 20 Evening Session 2: July 25 - Aug 17 (Day Sessions: Mondays to Thursdays mornings/ Evening Lessons Tuesday and Thursday between 6-7pm ) Date of birth Lessons Full name Children (0-17 yrs) day/month/year Evening L evel CFTR* Full name Adults/ Babysitters senior (55+) adult (18-54) babysitter (14+) Medical information (ie allergies or other medical conditions the lifeguards should know about in case of emergency): Name Description Emergency contact information (important to complete in case of emergency) Home phone # Parent cell # Work # Other # (Neighbor, extended family, etc ) Name (Please use back of page if additional space is required)

5 Page 3 of 3 Beacon Hill Pool Volunteer Form Beacon Hill is a community pool that relies on the volunteer participation of its members. There are many events and activities that make the pool a fun place to spend the summer. Please indicate below how you plan to help. (We hope you will pick more than one) PLANNING: I can coordinate one of the following events (no organizers means no events ) Swim meet canteen July 19 Aug 2 Aug 9 Swim meet volunteers Other activity (please specify) ex. Opening BBQ, Snack Shack, Hamburger Happening, movie night VOLUNTEERING: parents of children who participate in swim team are asked to act as an official during at least 2 of the 6 meets (minimal training is required) * I will volunteer for a one hour shift at the opening BBQ June 17 I will volunteer for a one hour shift at the 50th Anniversary July 15 I will volunteer for a one hour shift at Pancake Breakfast July 30 I will volunteer to help with the adult party August 12 I will volunteer for a one hour shift at Hamburger Happening Aug 26 I will volunteer concessions at some water polo games I will volunteer concessions at some swim meets I will volunteer as an official at some swim meets* * Please circle your availabilities and we will confirm: June 28, July 12, July 19, July 26, Aug 2, Aug 9, don t know yet so call me FOOD: I can provide a salad at the opening BBQ June 17 I can provide a salad at Hamburger Happening Aug 26 MISC: My company or family would like to put a banner on the pool fence I have a special talent or resources that could be helpful (ex: photocopies, translation) Please specify: _ Family Name: Phone #: (Usually the most common last name of the children which we will file your membership under) Volunteer name(s): _ Thank you for your support!

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