A one-time Registration Fee is required per participant. If there are multiple participants, please fill out this form for each participant.
Student name will be entered below NOT parent name.
Swimmers who have never taken lessons should purchase an 18-lesson pack and attend we recommend they take lessons 3x a week.
Returning swimmers should purchase either an 8 or 12 lesson pack based on whether they will swim once or twice per week.
If you have questions about which package you should select pleases text 832-975-0046.
Our Program is a year-round program when weather permits.
If you have already purchased a class package, please click the Connect button so new coupons will be added to the same email address as used previously.
You will receive your receipt by email.
STUDENT NAME GOES BELOW
ANNUAL MEMBERSHIP FEE
Please enter the student's name for the membership
If Coach Cam did not specifically tell you to answer yes for 30-minute lessons, then select NO
ex: Fill out form and purchase package for child 1. Come back fill and purchase for child 2.
30-Min Lesson package of 6 $360
30-Min Lesson package of 12 $720
30-Min Lessons package of 12
18 Class Package $720
18 Private Lesson Package
12 Class Package $480
12 Private Lesson Package
8 Class Package for lessons $320
8 Private Lesson Package
Assumption of Risk and Waiver of Liability: 1. I hereby warrant that I and/or my child (PARTICIPANT) are:a. FREE OF ANY MENTAL OR PHYSICAL CONDITION, AILMENT OR INJURY (MEDICAL OR OTHERWISE) WHICH WOULD, IN AND OF ITSELF OR IN CONJUNCTION WITH ANY OTHER CIRCUMSTANCE, INCLUDING BUT NOT LIMITED TO THOSE ACTIVITIES ASSOCIATED WITH THIS ACTIVITY, (i) IMPAIR, PREVENT OR PROHIBIT PARTICIPANTS FROM ENGAGING IN SUCH ACTIVITIES OR (ii) BE AFFECTED, AGGRAVATED OR WORSEN IN ANY WAY AS A RESULT, DIRECTLY OR INDIRECTLY, OF PARTICIPANT’S INVOLVLEMENT IN SUCH EVENT;b. OF SOUND MIND AND BODY AND NOT UNDER THE INFLUENCE OF ALCOHOL OR ANY ILLICIT OR PRESCRIPTION DRUG OR MEDICATION WHICH MAY IN ANY WAY IMPAIR PARTICIPANT’S ABILITY TO ENTER INTO THIS AGREEMENT OR PARTICIPATE IN THE ACTIVITY, FULLY UNDERSTAND THE RESPECTIVE INTENT AND MEANING OF ALL OF THE TERMS AND PROVISIONS HERE OF AND TO PARTICIPATE IN THE EVENT;c. ENTERING INTO THIS WAIVER AND RELEASE AGREEMENT VOLUNTARILY, BY PARTICIPANT’S OWN FREE WILL, ACT AND DEED, WITHOUT ANY UNDUE INFLUENCE FROM THE ORGANIZERS OR ANYOTHER THIRD PARTY.
2. In consideration for teaching PARTICIPANT to swim (the ACTIVITY), I hereby RELEASE, WAIVE, DISCHARGE, HOLD HARMLESS, and COVENANT NOT TO SUE Suit Up: Swimming for Life LLC and its employees, agents, representatives, vendors, contractors, and location owners, individually (collectively, RELEASEES) from any and all liability, claims, demands, actions, and causes of action whatsoever arising out of or related to any loss, damage, or personal injury, including, but not limited to, illness or death, that may be sustained by PARTICIPANT, or to any property belonging to PARTICIPANT, WHETHER CAUSED BY THE NEGLIGENCE OF THE RELEASEES, third parties or otherwise during the ACTIVITY, whether at Suit Up: Swimming for Life or at my home or another location, and whether PARTICIPANT is in the pool engaging in the ACTIVITY or not. This shall include any time or activity immediately before and after the ACTIVITY from my arrival on Suit Up: Swimming for Life property to my departure or from RELEASEES arrival at my property or our agreed location to the RELEASEES departure.3. I am fully aware of the risks and hazards connected with PARTICIPANT’S participation in the ACTIVITY or playing around a pool, including the risk of physical injury or disability as the result of such injury, and I am voluntarily participating or allowing PARTICIPANT to participate in the ACTIVITY, and to enter the above-named premises and engage in the ACTIVITY. I VOLUNTARILY ASSUME FULL RESPONSIBILITY FOR ANY RISK OF LOSS, PROPERTY DAMAGE OR PERSONAL INJURY, INCLUDING DEATH, that may be sustained, or any loss or damage to property as a result of being engaged in the ACTIVITY.4. I further hereby AGREE TO INDEMNIFY AND HOLD HARMLESS the RELEASEES from any loss, liability, damages, judgments, suits, claims cost, attorney fees or costs that they may incur due to PARTICIPANT’S participation in the ACTIVITY, WHETHER CAUSED BY OR CONTRIBUTED TOIN WHOLE OR IN PART by any action or failure to act, negligence, breach of contract or other misconduct on the part of the RELEASEES or otherwise.5. I further hereby AGREE TO INDEMNIFY AND HOLD HARMLESS the RELEASEES from any loss, liability, damages, judgments, suits, claims cost, attorney fees or costs that they may incur while on my property or on property I have designated for participation in the ACTIVITY, WHETHER CAUSED BY OR CONTRIBUTED TO IN WHOLE OR IN PART by any action or failure to act, negligence, breach of contract or other misconduct on the part of the RELEASEES or otherwise.6. I further accept responsibility for and shall cover the cost to remedy any damage to RELEASEES personnel or property that they may incur while on my property or on property I have designated for participation in the ACTIVITY, WHETHER CAUSED BY OR CONTRIBUTED TOIN WHOLE OR IN PART by any action or failure to act, negligence, breach of contract or other misconduct on the part of the RELEASEES or otherwise.7. PARTICIPANT agrees that the RELEASEES are authorized to secure appropriate medical attention for PARTICIPANT in the event of an accident, illness or injury on or near the premises while participating in the ACTIVITY or otherwise. PARTICIPANT shall be responsible for any and all costs of medical coverage and treatment provided not covered by PARTICIPANT’S insurance.8. PARTICIPANT further agrees that the RELEASEES shall have the right to record, broadcast and otherwise exploit in any and all media throughout the world PARTICIPANT’S name, likeness, voice and biographical information as recorded while PARTICIPANT is engaged in the ACTIVITY or otherwise on the property.9. It is my express intent that this Release and Hold Harmless Agreement shall bind the members of my family and spouse (if any), if I am alive, and my heirs, assignees and personal representative, if I am not alive, and shall be deemed as a RELEASE, WAIVER, DISCHARGE, and COVENANT NOT TO SUE the above-named RELEASES. I hereby further agree that this Waiver of Liability and Hold Harmless Agreement shall be constructed in accordance with the laws of the State of Texas.10. If any provision of this Waiver shall for any reason be held invalid or unenforceable, such invalidity orunenforceability shall not affect any other provision hereof and this Waiver shall be construed as if suchinvalid or unenforceable provision were omitted or amended to be made enforceable.11. I understand that the RELEASEES will not be responsible for any medical costs associated with any injury.
IN SIGNING THIS RELEASE, I ACKNOWLEDGE AND REPRESENT THAT I HAVE READ THE FOREGOING WAIVER OF LIABILITY AND HOLD HARMLESS AGREEMENT, I UNDERSTAND IT AND SIGN IT VOLUNTARILY AS MY OWN FREE ACT AND DEED, THAT NO STATEMENTS OR INDUCEMENTS, APART FROM THE FOREGOING WRITTEN AGREEMENT, HAVE BEEN MADE; AM AT LEAST EIGHTEEN (18) YEARS OF AGE AND FULLY COMPETENT; AND I EXECUTE THIS RELEASE, ON BEHALF OF MYSELF OR MY CHILD UNDER THE AGE OF 18, FOR FULL, ADEQUATE, AND COMPLETE CONSIDERATION FULLY INTENDING TO BE BOUND BY THE SAME.
SOCIAL MEDIA RELEASE FORM
I hereby grant Suit Up: Swimming for Life LLC and its employees, agents, and representatives (“Suit Up”) the irrevocable right and permission to use photographs and/or video recordings of me and/or my minor child(ren) in Suit Up’s or its partners’ or affiliates’ social media, website, emails, publications, promotional flyers, educational materials, derivative works, or for any other lawful purpose without acknowledgment, payment, royalties, or compensation to me or my child(ren).
MEDIA RELEASE
I understand and agree that such photographs and/or video recordings of me and/or my child(ren) may be placed on the Internet and may be shared by third parties. I also understand that such photographs and/or video recordings may be taken at and include visuals of my home if I elect to have contract Suit Up’s services to be performed at my home; provided, however that Suit Up shall not display my address or other location-specific information photographs and/or video recordings, nor otherwise publish this information in any manner. I agree that all such portraits, pictures, photographs, video and audio recordings, and any reproductions thereof, and all plates, negatives, recording tape and digital files are and shall remain the property of Suit Up and shall not be returned or delivered to me or my child(ren).
I authorize Suit Up to edit, enhance, crop, alter, copy, exhibit, publish, or distribute this content and waive the right to inspect or approve the final product. I further acknowledge and agree that there is no guarantee that any or all of my or my child(ren)’s images or recordings will be used in any media.
I hereby release, acquit and forever discharge Suit Up, its current and former trustees, agents, officers and employees from any and all claims, demands, rights, promises, damages and liabilities arising out of or in connection with the use or distribution of said photographs and/or video recordings, including but not limited to any claims for invasion of privacy, appropriation of likeness or defamation.
If you do not wish to have any videos or photos of your child taken during lessons please do the following:
Email: suituphtx@gmail.com
Subject: OPT OUT MEDIA
In the body of the text please include account owner name and student name.
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21302 Park Valley Drive 832-975-0046
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