Swim Class Registration – 2015 Spring
Sunnyvale- Outdoor
SATURDAY: April 4 – June 13 (10 weeks)
~~~~~ Formerly known as California Dolphin Swim School ~~~~~
凱豐游泳俱樂部
Swimmer Information
Returning Swimmer: Has previously registered at
Leading /
New Swimmer: Has never been with Leading / Calphin
Swimmer
Name (First Last)
Skill Level
Sex
Calphin (please check one)
Birthday
Home Address
#1
#2
#3
Parent Name
Home Phone
Email Address
Daytime Phone
cell / work
Pool Location and Schedule
Sunnyvale Pool (South Bay)
Class Selection
[ 1 ] first choice
[ 2 ] second choice
**Skill Levels- check www.calphin.com for details!**
Fremont High School
1279 Sunnyvale-Saratoga Rd. Sunnyvale, CA
SATURDAY:
1:15 - 2:15
2:15 - 3:15
3:15 - 4:15
4:15 - 5:15
5:15 - 6:15
Saturdays 1:15-6:15PM (10 Lessons)
Class Dates: Apr 4, 11, 18, 25;
May 2, 9, 16, 30; June 6, 13
No Class: May 23 (Holiday)
CHL/MST
CHL/MST
CHL/MST
ELT/MST
CHL/MST
RCR/SPT
RCR/SPT
RCR/SPT
RCR/SPT
RCR/SPT
GLD
GLD
GLD
GLD
GLD
CRL
CRL
CRL
CRL
CRL
BUB
BUB
BUB
BUB
BUB
NOTE: ELT (Elite) is designed for competitive team swimmers with A+ Pacific Swimming Time Standard.
CALPHIN Swim Skill Levels: MST=Master; CHL=Challenger; RCR=Racer; SPT=Sprinter; GLD=Glider; CRL=Crawler; BUB=Bubbler.
* To earn early registration discount, the postmark or hand-in payment must be 7 days before the 1st lesson
* One time application fee of $25 applies to all new swimmers
* Mid-term drop in ok with prorated tuition: $18 for 1st swimmer, $16 for 2nd and 3rd swimmer + $10 registration fee
Tuition and Payment
(Check Payable to Calphin, or Cash)
Swimmers
(siblings only)
Swim Class
Tuition
#1
$190
#2
$170
#3
$170
Payment Date: _
__
New Swimmer**
Application +$25
Check Payable To:
Check Mailed To: 34075 Fremont Blvd. Fremont, CA 94555
Cash Submitted to ____
Early Registry
Discount (-$10 *)
Calphin __
Subtotal
$10 discount
For Early
Registry!
Total: $
 On Back of Check: _Deposit Only_
____, Signed by Cash Receiver: ______________
Indemnification
By signing the form below, I certify the above information is correct and the swimmers are in good health to swim. I also confirm that we have received,
understood, and will comply with all the pool safety rules, as well as the club policy established by Calphin Aquatic Club published on the website given below.
We understand and assume all incidental risks involving in swimming. In case of injury to the swimmers, we do hereby release, indemnify, hold harmless and
waive all claims against the pool facility owners, management organizations; Calphin Aquatic Club, their officers and employees. I also certify that I have read,
understood the foregoing message, and sign this form voluntarily.
__X___________________________
Parent or Legal Guardian Signature
Enrollment Form – 2015 Spring Sat v1.1
[email protected]
__X___________________
Date
(510) 790-SWIM or 790-7946
(510) 796-SWIM fax
34075 Fremont Blvd, Fremont, CA 94555
www.Calphin.com