Skip to content
Tel: 855.794.6764
Email: info@poolmanagementinc.com
Home
Aquatic Facility Maintenance
Lifeguards
Lifeguard Jobs
Pool Lifeguard
Lifeguard Salary
Pool Safety
Aquatic Water Safety
Aquatic Services
Pool Renovations
Contact Us
Contact Us
Bid Requests – Pool Management Inc
Apply Now!
Event Reservations
SWIM LESSONS
Customer Login
Forms
Vendor Registration
Facility Inspections
Missing Pay Requests
Returns/Refunds
Event Time Sheet
Home
Aquatic Facility Maintenance
Lifeguards
Lifeguard Jobs
Pool Lifeguard
Lifeguard Salary
Pool Safety
Aquatic Water Safety
Aquatic Services
Pool Renovations
Contact Us
Contact Us
Bid Requests – Pool Management Inc
Apply Now!
Event Reservations
SWIM LESSONS
Customer Login
Forms
Vendor Registration
Facility Inspections
Missing Pay Requests
Returns/Refunds
Event Time Sheet
Facebook
NOW HIRING
SWIM LESSONS
Please enable JavaScript in your browser to complete this form.
Please enable JavaScript in your browser to complete this form.
Swimmer
*
Preferred Facility
*
Swimmer Date Of Birth
*
What type of lesson are you interested in?
*
Private
Semi-Private
Group Lessons
Signature Liability lesson
Contact Info
Parent/Guardian
*
Phone
*
Email
*
Address
*
Address Line 1
City
--- Select state ---
Alabama
Alaska
Arizona
Arkansas
California
Colorado
Connecticut
Delaware
District of Columbia
Florida
Georgia
Hawaii
Idaho
Illinois
Indiana
Iowa
Kansas
Kentucky
Louisiana
Maine
Maryland
Massachusetts
Michigan
Minnesota
Mississippi
Missouri
Montana
Nebraska
Nevada
New Hampshire
New Jersey
New Mexico
New York
North Carolina
North Dakota
Ohio
Oklahoma
Oregon
Pennsylvania
Rhode Island
South Carolina
South Dakota
Tennessee
Texas
Utah
Vermont
Virginia
Washington
West Virginia
Wisconsin
Wyoming
State
Zip Code
Emergency Medical Authorization, Informed Consent, and Release of Liability
*
I AGREE
By signing below, I, the undersigned Parent or Legal Guardian of the participant named above, authorize **Pool Management Inc.** and its representatives to seek and obtain emergency medical treatment from any licensed physician or healthcare facility in the event of a medical emergency. I understand and agree that neither **Pool Management Inc.** nor its representatives shall be held liable for any actions taken in good faith under this authority during an emergency.
I further acknowledge and accept full responsibility for any risks of injury or loss associated with my child’s participation in **Pool Management Inc.** programs, including but not limited to swim lessons, swim teams, and related events. I hereby release, waive, and forever discharge **Pool Management Inc.**, its officers, agents, and employees from any and all claims or liabilities for personal injury, death, or property damage that may arise directly or indirectly from participation in these activities—except in cases of gross negligence.
I understand that participation in sporting activities involves inherent risks, including serious injury, brain injury, paralysis, or death, and that such activities may include strenuous and physically demanding elements. I affirm that, to the best of my knowledge, my child has no medical, physical, mental, or emotional conditions that would prevent safe participation.
I acknowledge that it is my responsibility to ensure my child’s safety in and around water at all times. I also give permission for photos taken during activities to be used for **Pool Management Inc.**’s promotional purposes.
By signing, I confirm that I have read, understood, and agreed to the above emergency medical authorization, informed consent, and liability waiver as it pertains to my child’s participation in **Pool Management Inc.** programs.
Signature
*
Clear Signature
Submit