Hawthorn Hammerheads Swim Team

Hawthorn Hammerheads Swim Team This non-competitive team offers elementary and middle school aged swimmers stroke development, skill development, comradery and FUN all year round! The requirement for joining is the ability to swim 25 yards of freestyle and backstroke, independently and unassisted as well as the ability and willingness to follow all coach instructions. TO PARTICIPATE: Drop by the end of a practice (Mon to Thurs at 6:30pm) or email swim@hfac.com to answer any questions get your swimmer placed in Level 1, 2, 3 or 4. When the Club Concierge is open, Registration and initial payment can be processed and enrollment confirmed immediately. Otherwise, submit your registration at the front desk and a member of the team will confirm, generally within 24 hours. PRACTICES: Practices run most weeks Monday-Thursday. See team calendar on the reverse page for details. Levels 1 and 2 : 4:30pm - 5:30pm Levels 3 and 4 : 5:30pm - 6:30pm Swimmers generally attend 2 practices a week, though swimmers may attend as many or as few practices as they choose during months in which they are enrolled. NEW!!! ANNUAL REGISTRATION: New Fall 2017! HFAC is now doing a one-time registration process for the 2017-2018 Swim Team Season (Sept 2017-August 2018). This will simplify the process, and minimize ongoing paperwork for families. Once registered, your swimmers info, participation agreement (including waiver) and payment information is kept on file. The swimmer remains enrolled until August 2018 or until cancellation is submitted via email to swim@hfac.com or by letter to the concierge desk. The swimmer can rejoin during the same season also via email or concierge desk without completing a new Registration form (if team space is available). Monthly payment is processed automatically. For more details, read below. The $25 Cost to Register includes a Hawthorn Hammerhead T-shirt & Swim Cap (logo t-shirts and caps coming late September) Aquatics Manager: Jack Vincent, Swim@hfac.com HAWTHORN FARM ATHLETIC CLUB * 503.640.6404 * HFAC.COM

MONTHLY COST: Regular Season pricing (Sept-May) is listed below. The Hammerheads join other local teams in Summer Swim meets. June - August calendar and pricing will be set once the meets are planned. Once registered, the participation cost is per month. While the first month a swimmer joins may be pro-rated, there are no discounts given for illness, vacation etc. 2017 2018 PRICING BY MONTH *Ask about our sibling discount! September $70 members / $90 non-members March $70 m / $90 nm October $90 m / $110 nm April $90 m / $110 nm November $90 m / $110 nm May $90 m / $110 nm December $70 m / $90 nm June TBD January $90 m / $110 nm July TBD February $90 m / $110 nm August TBD HFAC HAMMERHEADS PRACTICE CALENDAR SEPT 2017- MAY 2018 September 2017 1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 26 27 28 29 30 October 2017 1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 26 27 28 29 30 31 November 2017 1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 26 27 28 29 30 December 2017 1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 26 27 28 29 30 31 January 2018 1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 26 27 28 29 30 31 February 2018 1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 26 27 28 March 2018 1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 26 27 28 29 30 31 April 2018 1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 26 27 28 29 30 May 2018 1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 26 27 28 29 30 31 Hammerhead Team Practice Day Aquatics Manager: Jack Vincent, Swim@hfac.com HAWTHORN FARM ATHLETIC CLUB * 503.640.6404 * HFAC.COM

Hawthorn Hammerheads REGISTRATION SWIMMER INFORMATION DATE Of BIRTH AGE HFAC SELF MANAGER? PARENT/LEGAL GUARDIAN INFORMATION EMAIL CELL PHONE ADDITIONAL CONTACT IN CASE OF EMERGENCY Name Relationship Cell# PARTICIPATION AGREEMENT: BY ENROLLING YOUR CHILD IN HFAC SWIM TEAM YOU ARE AGREEING TO TO ALL HFAC POLICIES, INCLUDING: Check in for every practice at the front desk by name (non-member) or with membership card. Pricing is based on swimmer s membership status, not the parent/guardians. Enrollment is not complete, and a space is not reserved, until payment has been received. A responsible adult must remain on the pool deck during lessons unless the swimmer is an HFAC Self Manager (age 9+). This and all other HFAC policies must be followed. Non-member swimming does NOT include facility usage outside of lesson time. Neither siblings nor parents may use HFAC without membership or a paid guest pass. Please follow all directions of HFAC instructors and other staff. Be respectful of others. HFAC reserves the right to change pricing, policies and rules with written notice. LIABILITY WAIVER: As the parent or legal guardian of the minor named above, I understand water activities specifically and use of Hawthorn Farm Athletic Club (HFAC) in general are potentially dangerous. I further understand that swim activities can be physically demanding. In consideration of HFAC permitting my child to participate, on behalf of myself, as well as my child, other heirs, family members, executors, administrators and assigns, I hereby knowingly and willingly assume all risk of physical, emotional and economic harm which may occur and further release HFAC owners, employees, instructors, and agents from any and all losses, costs, expenses, damages, fees, attorney s fees, and liability which may result from my child s use of HFAC s facilities and aquatics program. In the event of an emergency in which my child may require immediate medical attention and I am not reachable, HFAC has permission to take or transport or transport my child or myself via ambulance at my expense to the nearest medical facility and to authorize such medical treatment as deemed necessary by medical staff. Parent/Guardian Signature / / Aquatics Manager: Jack Vincent, Swim@hfac.com HAWTHORN FARM ATHLETIC CLUB * 503.640.6404 * HFAC.COM

AUTOBILLING PAYMENT AUTHORIZATION Name (First, Last) Please print clearly Cell Phone INFORMATION OF PERSON RESPONSIBLE FOR PAYMENT Email Address HFAC Member# If charging to acct Initials Please initial each item acknowledging that you understand and accept the policy written. I understand that enrollment in a given month is non-refundable unless cancellation is received in writing on or before 20 th of the month prior. For example, to cancel in January, please submit written notice on or before Dec, 20 th. To cancel, email Coach Leslie Huerta at leslieh@hfac.com. The email will be printed and filed to document the cancellation. You may also submit written cancellation to the HFAC Concierge Desk. I understand that the credit card or club account charge will be processed on or around the 22 nd of the month prior to that my child is enrolled in Swim Team. (e.g. Dec 22 nd for January) I understand that team space is limited and HFAC can only communicate team space availability at the time of enrollment. Priority is given to HFAC Members and to swimmers enrolled in the month prior. If a child drops off the team for one month, his or her slot may be given to a different swimmer and this may impact following months. If the team is full, the child would then be placed on the wait list for future participation. I understand by providing financial information and signing this document the account holder is accepting full financial responsibility for Swim Team charges and adherence to the policies stated in this entire document. CREDIT CARD Print Name As it appears on Card Credit Card # PAYMENT INFORMATION CCV # Type: Visa MasterCard Discover Amex Address Listed With Card City, State Zip Expiration OR PLACE AN X HERE TO PUT SWIM TEAM CHARGES ON YOUR HFAC MEMBERSHIP ACCOUNT HFAC Member/CC Account Holder Signature Signed TO BE COMPLETED BY HFAC STAFF ONLY Monthly Amounts Charged: or HFAC Representative Signature DISCOUNT/ NOTES: Signed Aquatics Manager: Jack Vincent, Swim@hfac.com HAWTHORN FARM ATHLETIC CLUB * 503.640.6404 * HFAC.COM

Group Swim Lesson Registration Fall 2017 SWIMMER INFORMATION DATE Of BIRTH AGE HFAC SELF MANAGER? PARENT/LEGAL GUARDIAN INFORMATION EMAIL MAILING ADDRESS CELL PHONE ADDITIONAL CONTACT IN CASE OF EMERGENCY Name Relationship Cell# ENROLLING IN GROUP SWIM LESSONS: 1. SELECT YOUR SWIMMERS LEVEL. HFAC is committed to getting each swimmer the appropriate level of group instruction, and classes are adapted to the students present. If you have a question of where your swimmer should be placed, ask the HFAC Concierge desk or contact a member of our Aquatics team for an evaluation (contact info on reverse). 2. SUBMIT COMPLETED FORM AND PAYMENT. The HFAC Concierge Desk can immediately confirm availability and process payment. If the Concierge Desk is closed, payment can be processed at the Front Desk and an HFAC Staff Member will email you within one business day to confirm availability. Starfish Levels I, II and III focus on water safety, independence, comfort and core swimming skills. These are held in HFAC s warm therapy pool. Starfish I: A first introduction to water or lessons, with a focus on safety & comfort. Swimmer must be independent in the water without parent, and at least 3 years old. Starfish II: Swimmers are comfortable under water & ready to learn kicking with a kickboard, rollovers, floats & shallow diving for toys. Starfish III: Focus on independent kicking & introduce arm strokes, rollovers into long floats, diving for toys in deep end with assistance, & side-kicking with assistance. Stingray Level develops swim strokes and kicks, as well as coordination. Swimmers use the therapy pool and lap pool. Stingray graduates are encouraged to join HFAC s Hammerheads Swim Team. COST: $100 a session for HFAC Youth Members, $150 a session for non-members. We offer a 20% discount for multiple sessions including for siblings if purchased at the same transaction.

PLEASE INDICATE YOUR 10-CLASS SESSION(S) BY CIRCLING YOUR SELECTION(S) FALL SESSION A: 2 classes a week Sept 12 th to October 12 th ( 10 lessons over 5 weeks) Starfish I - T/Th 4:30pm Starfish II T/Th 5:05pm Starfish III T/Th 5:40pm Stingray - T/Th 6:15pm FALL SESSION B: 2 classes a week Oct 17 th to Nov 16 th ( 10 lessons over 5 weeks) Starfish I - T/Th 4:30pm Starfish II T/Th 5:05pm Starfish III T/Th 5:40pm Stingray - T/Th 6:15pm FALL SESSION AB: 1 class a week Sept 16 th to Nov 18 th (10 lessons over 10 weeks) Starfish I - Sat 10:15am Starfish II Sat 10:50 am Starfish III Sat 11:25am Stingray - Sat 12 Noon BY ENROLLING YOUR CHILD IN HFAC SWIM LESSONS YOU AGREE TO ALL HFAC POLICIES, INCLUDING: Check in for every swim lesson at the front desk by name (non-member) or with your membership card. Pricing is based on swimmer s membership status, not the parent/guardians. Enrollment is not complete, and a space is not reserved, until payment has been received. Availability is first come-first served. A responsible adult must remain on the pool deck during lessons unless the swimmer is an HFAC Self Manager (age 9+). This and all other HFAC policies must be followed. Non-member swimming does NOT include facility usage outside of lesson time. Neither siblings nor parents may use HFAC without membership or a paid guest pass. Please follow all directions of HFAC instructors and other staff. Please be respectful of other members. Once purchased, Group Swim Lessons are non-refundable as a whole or for missed lessons. MISSED LESSON POLICY: Please do NOT bring a sick child to swim, especially if s/he has had diarrhea within the last 2 weeks. We re sorry, we are unable to offer makeup sessions. LIABILITY WAIVER As the parent or legal guardian of the minor named above, I understand that water activities specifically and use of Hawthorn Farm Athletic Club (HFAC) in general are potentially dangerous. I further understand that swim activities can be physically demanding. In consideration of HFAC permitting my child to participate, on behalf of myself, as well as my child, other heirs, family members, executors, administrators and assigns, I hereby knowingly and willingly assume all risk of physical, emotional and economic harm which may occur and further release HFAC owners, employees, instructors, and agents from any and all losses, costs, expenses, damages, fees, attorney s fees, and liability which may result from my child s use of HFAC s facilities and aquatics program. In the event of an emergency in which my child may require immediate medical attention and the unlikely event that I am not reachable, HFAC has permission to take or transport or transport my child or myself via ambulance at my expense to the nearest medical facility and to authorize such medical treatment as deemed necessary by medical staff. Parent/Guardian Signature / / TO BE COMPLETED BY HFAC STAFF ONLY Total Amount Paid Payment Method Received Staff Initials Member Acct CC Cash Aquatics Manager: Jack Vincent, Lead Instructor: Leslie Huerta, email both at swim@hfac.com HAWTHORN FARM ATHLETIC CLUB * 503.640.6404 * HFAC.COM

ADULT Private/Semi-Private Swim Lessons Registration Fall 2017 SWIMMER 1 INFORMATION EMAIL MAILING ADDRESS CITY CELL PHONE ZIP SWIMMER 2 INFORMATION (For Semi-Private Lessons Only. For Shared Packages complete separate forms) EMAIL CELL PHONE MAILING ADDRESS CITY ZIP ENROLLMENT: Please bring this completed form to the HFAC Concierge Desk or Front Desk to purchase your private or semi-private swim lesson package(s). A member of our Aquatics Department will contact you, generally within 24 hours, to match you with an instructor who will set the date/time of lesson(s). NOTES: Please use the section below to make notes on what you are looking for in private instruction. & Time Preferences: Instructor Qualities: Swimmer Goals: Other Notes: PLEASE SEE REVERSE Aquatics Manager, Jack Vincent, Head Instructor, Leslie Huerta contact both at 503.640.6404 or swim@hfac.com

ADULT Private/Semi-Private Swim Lessons Registration Fall 2017 PRICING: Private lessons are 30-minutes and for 1 swimmer only. The lesson may not be shared or split. Semi-private lessons are 30-minutes for no more than two swimmers. Packages may be shared between 2 adults (e.g. a 4-pack used as 2 lessons each for spouses). For 3 or more swimmers in one lesson, please ask about arranging Group Lesson. PRIVATE (1 Swimmer) SEMI-PRIVATE (2 Swimmers) HFAC Member Non-Member HFAC Member Non-Member 1-pack $30 $40 $46 ($23 per person) $66 ($33 pp) 4-pack $116 $156 $176 ($88 pp) $256 ($128 pp) 8-pack $228 NA $344 ($172 pp) NA 12-pack $324 NA $480 ($240 pp) NA PURCHASE: Please write out package being purchased: BY ENROLLING IN HFAC SWIM LESSONS YOU AGREE TO THE FOLLOWING: REFUNDS: Packages are non-refundable after 3-days from purchase date EXPIRATION: Packages expire if not used within 2 months for 1 or 4-pack, 3 months for an 8-pack and 6 months for a 12-pack. CANCELLATION: Please do not come to a swim lesson ill, especially if you have recently had diarrhea. We require 24-hour notice of cancellation by contacting Aquatics Manager Jack Vincent or Head Instructor Leslie Huerta at 503.640.6404 or emailing them at swim@hfac.com. You may also cancel directly with the instructor. No-shows and lessons with less than 24-hour notice of cancellation will be forfeited. Check in for every swim lesson at the front desk by name (non-member) or with your membership card. Pricing is based on swimmer s membership status. Semi-private lessons may get member pricing as long as one swimmer is a member. Instructor is subject to change. Refunds will not be issued due to an instructor change. Non-member swimming does not include facility usage outside of lesson time. LIABILITY WAIVER: I understand that water activities specifically and use of Hawthorn Farm Athletic Club (HFAC) in general are potentially dangerous. I further understand that swim activities can be physically demanding. In consideration of HFAC permitting me to participate, on behalf of myself, as well as my heirs, family members, executors, administrators and assigns, I hereby knowingly and willingly assume all risk of physical, emotional and economic harm which may occur and further release HFAC owners, employees, instructors, and agents from any and all losses, costs, expenses, damages, fees, attorney s fees, and liability which may result from my use of HFAC s facilities and aquatics program. I have read this document, and I understand and agree to all policies and terms herein. Swimmer 1 Signature Swimmer 2 Signature for Semi-Private Lessons Only / / / / Aquatics Manager, Jack Vincent, Head Instructor, Leslie Huerta contact both at 503.640.6404 or swim@hfac.com

YOUTH Private/Semi-Private Swim Lessons Registration Fall 2017 SWIMMER 1 INFORMATION DATE Of BIRTH AGE HFAC SELF MANAGER? SWIMMER 2 INFORMATION (For kids with the same parent/guardian only. If sharing a semi-private lesson with someone else, please complete a separate form, making note in the notes section below). DATE Of BIRTH AGE HFAC SELF MANAGER? PARENT/LEGAL GUARDIAN INFORMATION EMAIL MAILING ADDRESS CELL PHONE ADDITIONAL CONTACT IN CASE OF EMERGENCY Name Relationship Cell# ENROLLMENT: Please bring this completed form to the HFAC Concierge Desk or Front Desk to purchase your private or semi-private swim lesson package(s). A member of our Aquatics Department will contact you, generally within 24 hours, to match your swimmer(s) with an instructor who will set the date/time of lesson(s). NOTES: Please use the section below to make notes on what you are looking for in private instruction. and Time Preferences: Instructor Qualities: Swimmer Goals: Other Notes: Aquatics Manager, Jack Vincent, Head Instructor, Leslie Huerta contact both at 503.640.6404 or swim@hfac.com

YOUTH Private/Semi-Private Swim Lessons Registration Fall 2017 PRICING: Private lessons are 30-minutes and for 1 swimmer only. The lesson may not be shared or split. Semi-private lessons are 30-minutes for no more than two swimmers. Packages may be shared between 2 kids (e.g. a 4-pack used as 2 lessons each for 2 kids). For 3 or more swimmers in one lesson, please ask about arranging Group Lesson. PRIVATE (1 Swimmer) SEMI-PRIVATE (2 Swimmers) Youth Member Non-Member Youth Member Non-Member 1-pack $25 $35 $36 ($18per person) $56 ($28 pp) 4-pack $96 $136 $140 ($70 pp) $220 ($110 pp) 8-pack $188 NA $272 ($136 pp) NA 12-pack $264 NA $372 ($186 pp) NA PURCHASE: Please write out package being purchased: BY ENROLLING YOUR CHILD IN HFAC SWIM LESSONS YOU AGREE TO THE FOLLOWING: REFUNDS: Packages are non-refundable after 3-days from purchase date EXPIRATION: Packages expire if not used within 2 months for 1 or 4-pack, 3 months for an 8-pack and 6 months for a 12-pack. CANCELLATION: Please do not bring an ill child to a swim lesson, especially if that child has recently had diarrhea. We require 24-hour notice of cancellation by contacting Aquatics Manager Jack Vincent at 503.640.6404, jackv@hfac.com or contacting the instructor. No-shows and lessons with less than 24-hour notice of cancellation will be forfeited. Check in for every swim lesson at the front desk by name (non-member) or with your membership card. Pricing is based on swimmer s membership status, not the parent/guardians. Instructor is subject to change. Refunds will not be issued due to an instructor change. A responsible adult must remain on the pool deck during lessons unless the swimmer is an HFAC Self Manager (age 9+). All other HFAC policies must be followed. Non-member swimming does not include facility usage outside of lesson time. Neither siblings nor parents may use HFAC without membership or a paid guest pass. LIABILITY WAIVER: As the parent or legal guardian of the minor named above, I understand that water activities specifically and use of Hawthorn Farm Athletic Club (HFAC) in general are potentially dangerous. I further understand that swim activities can be physically demanding. In consideration of HFAC permitting my child to participate, on behalf of myself, as well as my child, other heirs, family members, executors, administrators and assigns, I hereby knowingly and willingly assume all risk of physical, emotional and economic harm which may occur and further release HFAC owners, employees, instructors, and agents from any and all losses, costs, expenses, damages, fees, attorney s fees, and liability which may result from my child s use of HFAC s facilities and aquatics program. In the event of an emergency in which my child may require immediate medical attention and I am not reachable, HFAC has permission to take or transport or transport my child or myself via ambulance at my expense to the nearest medical facility and to authorize such medical treatment as deemed necessary by medical staff. I have read this document, and I understand and agree to all policies and terms herein. Parent/Guardian Signature / / Aquatics Manager, Jack Vincent, Head Instructor, Leslie Huerta contact both at 503.640.6404 or swim@hfac.com