SWIM LESSONS Office of Athletics 1101 West College Avenue Jacksonville, Illinois 62650
SWIM LESSONS SWIM LESSON REGISTRATION FORM
FEE RATES PER SESSION:
Parent’s Name: ___________________________________________ IC Employee? _____
General public: $75 for the first child, $50 for each additional child
Address: _________________________________________________________________
Illinois College employees: $70 for the first child, $45 for each addition child
Phone: _________________________ Email: ____________________________________ Time Frame (check one): ¨ 9 to 9:45 a.m. ¨ 10 to 10:45 a.m. ¨ 11 to 11:45 a.m.. Session (check one): ¨ Session 1: June 5 to 8 & June 12 to 15 ¨ Session 2: June 19 to 22 & June 26 to 29 ¨ Session 3: July 10 to 13 & June 17 to 20 1. Child’s Name: __________________________________________________________
LOCATION: The swim lessons will be held in Illinois College’s Coultas Natatorium at 1211 Edgehill Rd. in Jacksonville (62650). The pool is located on the bottom floor of Bruner Fitness Center. Please use the general locker rooms for changing and to access the pool.
Select the best description of swimming ability: ¨ I need to be held, but like to play in the water. ¨ I can support myself on the wall with someone there. ¨ I can float on my own with someone there. ¨ I can swim by myself, but I need someone in arms’ reach. ¨ I don’t need anyone by me while I swim.
RED CROSS:
Accommodations: _______________________________________________________
With your completed check filled out to Illinois College Swim Team Camp you can:
2. Additional Child’s Name: __________________________________________________ Select the best description of swimming ability: ¨ I need to be held, but like to play in the water. ¨ I can support myself on the wall with someone there. ¨ I can float on my own with someone there. ¨ I can swim by myself, but I need someone in arms’ reach. ¨ I don’t need anyone by me while I swim.
The Illinois College pool facility is an authorized Red Cross provider. All of our swim lesson instructors, life guards, and managers are trained through the Red Cross.
HOW TO REGISTER: · Mail it to: Illinois College, attn: Chris Sykes, 1101 W. College Ave, Jacksonville, IL, 62650. · Or call Chris Sykes, lesson coordinator, at 217-245-3343 and he can register you over the phone. · Or email Chris Sykes, at
[email protected] and we can register you from there.
Accommodations: _______________________________________________________ 3. Additional Child’s Name: __________________________________________________ Select the best description of swimming ability: ¨ I need to be held, but like to play in the water. ¨ I can support myself on the wall with someone there. ¨ I can float on my own with someone there. ¨ I can swim by myself, but I need someone in arms’ reach. ¨ I don’t need anyone by me while I swim. Accommodations: _______________________________________________________
Questions? Please contact: Christopher Sykes at 217-245-3343 or
[email protected]