Winter Swim Technique Sessions The winter swim sessions are a series of 10 one-hour sessions starting January 7 and ending March 31. Sessions will be held at Crystal Pool on Sunday evening from 5:00 to 6:00 PM. Drills will be focused on maintaining streamline, proper head position, strong pull and body rotation. You DO NOT need to pay for admission to the pool as the cost is covered through the sessions. The cost of the clinic is $45. Payment details will be sent via email once you have signed-up. Please note there is limited space. If there is enough of a demand I will look at adding a second session. Sign-up Form Your Name Your Email Your Phone Number Emergency Contact Emergency Contact's Phone Social Media Release Throughout the swim camp we may take photos and mini videos for sharing on social media (Facebook, Twitter, Instagram and Youtube) and websites. Please confirm your consent to Susan Simmons Coaching sharing your image online and in future marketing materials clicking the box below: I authorize Susan Simmons Coaching to use my images and video on social media Waiver/Release Agreement I understand that there are risks and dangers inherent in participating and/or receiving instruction in The Swim Clinics, hereinafter "Activity". I also understand that in order to be allowed to participate and/or receive instruction in Activity, I must give up my rights to hold Susan Simmons Coaching and Drifter’s Cove liable for any injury or damage which I may suffer while participating and/or receiving instruction in Activity. Knowing this, and in consideration of being permitted to participate and/or receive instruction in Activity, I hereby voluntarily release Susan Simmons Coaching from any and all liability resulting from or arising out of my participation and/or receipt of instruction in Activity. I understand and agree that I am releasing not only the entities set forth in the paragraph above, but also the officers, agents, and employees of those entities. I understand and agree that this Waiver/Release will have the effect of releasing, discharging, waiving and forever relinquishing any and all actions or causes of action that I may have or have had, whether past, present or future, whether known or unknown, and whether anticipated or unanticipated by me, arising out of my participation and/or receipt of instruction in Activity, except for the acts or omissions of Susan Simmons Coaching, its officers, agents or employees which are found to be negligent by a court of competent jurisdiction. I understand and agree that this Waiver/Release applies to personal injury, property damage, or wrongful death which I may suffer, even if caused by the acts or omissions of others. I understand and agree that by signing this Waiver/Release, I am assuming full responsibility for any and all risk of death or personal injury or property damage suffered by me while participating and/or receiving instruction in Activity. I understand and agree that this Waiver/Release will be binding on me, my spouse, my heirs, my personal representatives, my assignees, my children and any guardian ad litem for said children. I understand and agree that by signing this Waiver/Release, I am agreeing to release, indemnify and hold Susan Simmons Coaching, its officers, agents or employees harmless from any and all liability or costs, including attorneys fees, associated with or arising from my participation and/or receipt of instruction in Activity. I understand and agree that if I am signing this Waiver/Release on behalf of my minor child, that I will be giving up the same rights for said minor as I would be giving up if I signed this document of my own behalf. I acknowledge that I have read this Waiver/Release Agreement and that I understand the words and language in it. I have been advised of the potential dangers incidental to participating and/or receiving instruction in Activity. Name Date Signed