Mansfield University Swim Lessons Spring 2018

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1 Swim Lessons Spring 2018 will be offering swim lessons for the spring 2018 semester. The session will start Monday, February 12 and run through Thursday, March 1. Lessons will be held on Monday and Thursday evenings. There are a total of six (6) lessons, each lesson lasting approximately 30 minutes. There are three class levels based on swimmer ability. Level 1-Parent/Child, Level 2-Fundamental Skills and Level 3-Stroke Development. The cost is $55.00 for all six lessons. Level 1 Parent/Child 5:30 PM Monday & Thursday Level 2 Fundamental Skills 6:00 PM Monday & Thursday Level 3 Stroke Development 6:30 PM Monday & Thursday Please read through the level information form and decide on the best class placement for your child. When the registration form is completed, please drop it off in room G-14 Decker Gym or leave it with the lifeguard on duty. You can also the completed registration information to rcolby@mansfield.edu. Payment can be made the day of the first lesson. You can also mail the registration packet to: Robin Colby G-14 Decker Gymnasium 70 South Stadium Drive Mansfield, PA Checks should be made payable to. Once all registration forms are in you will receive a final confirmation . If you have any questions please call or Robin Colby (570) rcolby@mansfield.edu

2 Swimming Lessons For the spring of 2018 semester, will be offering swimming lessons at Decker Pool in Decker Gymnasium. The swimming program is designed to teach children to be safe when they are in or near water, and help develop and improve swimming skills. The program covers skills and knowledge in a logical progression for aquatic skill development. As participants develop these skills, they will become safer and better swimmers. Levels of Courses: The swim program is compromised of the following three course levels: Level 1: Level 2: Level 3: Introduction to Water Skills/Parent Child No prerequisites. Parent will be in the water with child working on aquatic skills together. Fundamental Aquatic Skills For this level: Student must be able to enter and exit water safely, submerge entire head, blow bubbles, obtain a submerged object in shallow water, and float on front and back. Stroke Development For this level: Student must be able to enter deep water from side, enter water head first in a kneeling or sitting position, rotary breath with body in a horizontal position, front and back glide using two (2) different kicks, tread water, demonstrate butterfly motion, and front and back crawl.

3 2018 Swim Lesson Registration Child s Name Address City/State/Zip Phone Number Child s Age Parent Name Emergency Contact Name Emergency Contact Number Any allergies or illnesses? Has the child had any bad experiences in water? If yes, what? What level class is the child signing up for? Cell Phone # for receiving texts in case of schedule change: *Parents, please fill out the Decker Liability Waiver and return with completed packet* Any additional information? Thank you for signing your child up for swimming lessons! On the first day of lessons, meet in the lobby of Decker Gymnasium for registration. If you have anyquestions please call (570)

4 Decker Gymnasium of of Pennsylvania Swimming Pool and Weight Room Assumption of Risk and Liability Release Form PARTICIPANT NAME PARENT NAME Check One: Community Member University Student/Employee Date of Birth: AGE HOME ADDRESS HOME PHONE # CELL PHONE # I,, understand that the risk of injuries is an inevitable and inherent consequence of participating in activities at s Decker Pool and Weight Room and that no amount of reasonable instruction and supervision, use of proper equipment or facilities will prevent injuries. I realize, and understand, that severe injuries are possible from weight training and swimming including the potential for death, serious injury, or illness from a variety of human or environmental factors. These environmental factors include, but are not limited to failure of equipment, dropping weights, cuts, abrasions resulting from contact with the equipment, and many other factors. I have carefully considered how the possible consequences of such an injury may impact my life, and despite this, I choose to assume this risk and to participate in the fitness and health testing. I understand that is not responsible for personal injuries or damages caused during my participation in this voluntary activity. In accepting this risk, I expressly and explicitly release and discharge from responsibility and liability of Pennsylvania, the State System of Higher Education, the Commonwealth of Pennsylvania, and the employees, officials or agents of any and all of the foregoing, pursuant to, related to, or arising from, any injuries to my person as a result of participating in activities in Decker Pool and Weight Room. In addition, I agree to indemnify and hold harmless, legally and otherwise, of Pennsylvania, the State System of Higher Education, the Commonwealth of Pennsylvania, and the employees, officials or agents of any and all of the foregoing, pursuant to, related to, or arising from, any injuries to my person as a result of participating in the climbing wall and ropes course. I verify that I have health insurance, and acknowledge that and the State System of Higher Education, the Commonwealth of Pennsylvania, and their employees, officials or agents are not responsible for any health care expenses as a result of my participation in the climbing wall and ropes course. I verify that I have no physical or mental disabilities, impairments or chemical dependencies that might inhibit my participation in swimming or weight training, and I agree to abide by all rules, directions and instructions regarding my participation in swimming and weight training as displayed in the facilities. I verify that I have read the Decker Pool and Weight Room rules and understand the procedures and rules in place to keep me safe. In case of injury while participating in swimming and weight training at Decker Gymnasium, I hereby give advance permission to obtain medical services on my behalf including, but not limited to, paramedic

5 treatment, transportation by emergency vehicle to a medical facility, and treatment by emergency physicians. All extraordinary measures are to be taken in regards to treatment and I shall assume all fiscal responsibility as to any treatment and services. I will indemnify and hold harmless Mansfield University of Pennsylvania, the State System of Higher Education, the Commonwealth of Pennsylvania and their employees, officials and agents from any and all financial and legal obligations associated with emergency treatment, including all actions in seeking and obtaining this service. EMERGENCY CONTACT PERSON: Name Address Phone Number I, the undersigned, am at least 18 years of age, and competent to sign this release. By signing this release, I hereby acknowledge that I understand and voluntarily accept the hazards, risks, rights, and responsibilities noted in this release. Signature of Participant or Parent or Legal Guardian if under 18: Date: