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Swim Lesson Registration

  1. Swim Lesson Registration

    Babes In Arms 6mo-36mo  this class is no longer available

    Parent/ Child 3yr -5yrs  this class is no longer available  

    Youth 6yrs- up are held 2 nights per week either Monday/ Wednesday or Tuesday/ Thursday 


    *Mon / Wed : Bolton, Kimberley Park, Mineral Springs, Reynolds Park, Waterworks

    *Tues/ Thurs: Kimberley Park, Mineral Springs, Parkland, Polo, Waterworks

    Adult 14yrs-up Sat 11 am at Parkland 

  2. Swimmer Information
  3. Emergency Contacts (please indicate 2)
  4. Swim Lesson Information
  5. Has swimmer participated in swim lessons before?*
  6. Acknowledgement of Lottery Process *

    I acknowledge that this is a lottery registration for free swim lessons and that a space in lessons, times, dates, or locations are NOT guaranteed

  7. Waiver of Liability
    I am/my child is voluntarily participating in WePLAY Swim Lessons organized by the Recreation & Parks Department of the City of Winston-Salem (hereinafter, the “City”). In consideration of the City’s organization of the WePLAY Swim Lessons, I agree to hold the City, its employees, agents, agents, and volunteers, harmless from and against any and all claims, liabilities, demands, damages, actions or causes of action, of any kind or character (including, without limitation, attorney’s fees, costs and expenses) that may arise in any manner by reason of injury or damage to myself/my child’s person (including illness or death), property or both as a result of his/her participation Swim Lesson. I understand that during myself/my child’s participation in WePLAY Swim Lessons (s)he is subject to the rules and regulations of the Recreation & Parks Department. I further understand and agree that this Waiver of Liability is binding upon my executors, administrators, personal representatives, collectors, heirs, successors, and assigns.
  8. Registrants will be contacted by phone on June 11 for lesson confirmation or wait list confirmation 

  9. Leave This Blank:

  10. This field is not part of the form submission.