SWIM LESSONS Office of Athletics 1101 West College Avenue Jacksonville, Illinois 62650

SWIM LESSONS SWIM LESSON REGISTRATION FORM

SESSION DATES:

Parent’s Name: ___________________________________________ IC Employee? _____

Each session is $80.00 per child per session ($50.00 for each additional sibling).

Address: _________________________________________________________________

Each session is 8 days total.

Phone: _________________________ Email: ____________________________________

LOCATION:

Time Frame (check one): ¨ 9-9:45 a.m. ¨ 10-10:45 a.m. ¨ 11-11:45 a.m.

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.

Session (check one): ¨ Session 1: June 6-9 and June 13-16 ¨ Session 2: June 20-23 and June 27-30 ¨ Session 3: July 11-14 and July 18-21 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.

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.

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]