SWIM LESSONS Office of Athletics 1101 West College Avenue Jacksonville, Illinois 62650
SWIM LESSONS SWIM LESSON REGISTRATION FORM Parent’s Name: ___________________________________________ IC Employee? _____ Address: _________________________________________________________________ Phone: _________________________ Email: ____________________________________ Time Frame (check one): ¨ 4:15 to 5 p.m. ¨ 5:15 to 6 p.m. Session (check one): ¨ Session 1: April 3-7 ¨ Session 2: April 10-13 (Due to the holiday weekend, session 2 has been shortened to four 45 minute lessons.) ¨ Session 3: April 17-21 ¨ Session 4: April 24-28 1. 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: _______________________________________________________ 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. 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: _______________________________________________________
FEE RATES PER SESSION: General public: $50 for the first child, $15 for each additional child (*Session 2: $40 for the first child, $10 for each additional child)
Illinois College employees: $40 for the first child, $15 for each addition child (*Session 2: $30 for the first child, $10 for each additional child)
Illinois College students: $10 per student (*Session 2: $8 per student)
Faculty and staff: $10 per person (*Session 2: $8 per student) * Session 2 prices are adjusted due to the shortened holiday week.
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.
RED CROSS: 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: With your completed check filled out to Illinois College Swim Team Camp you can: · 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.
Questions? Please contact: Christopher Sykes at 217-245-3343 or
[email protected]