Registration

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If you have already had lessons with us in the past, we have your family information saved in a lead file. Please do not fill this form out as it will create a duplicate account for your family. Give us a call at the office and we gladly will activate your family account for you to be able to access your customer portal. Thank you!

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Referral Information
Family Information
Where do you live?
Additional Info
Contact #1
How Can We Contact You?
Portal Access (your email is your login)
(Emails are kept confidential)
Contact #2
How can we contact you?
(Emails are kept confidential)
Student #1
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Additional Info
Required Policies and Agreements
Due to the outbreak of the novel Coronavirus, COVID-19, we are taking extra precautions with the intake of each client, health history review, as well as sanitization and disinfecting practices. Please complete the following and sign below. A detailed description of safer facility practices can be found a on our website as well as on the parent portal home screen.
Symptoms of COVID-19 include:
• Fever
• Fatigue
• Dry cough
• Difficulty breathing
Miller Swim School has put in place preventative measures to reduce the spread of COVID-19; however, MSS cannot guarantee that you or your child(ren) will not become infected with COVID-19. As with every other activity, there could be an increase in your risk and in your child(ren)'s risk of contracting COVID-19.
By signing this agreement, I acknowledge the contagious nature of COVID-19 and voluntarily assume the risk that my child(ren) and I may be exposed to or infected by COVID-19 by attending MSS and that such exposure or infection may result in personal injury, illness, permanent disability, and death. I understand that the risk of becoming exposed to or infected by COVID-19 at MSS may result from the actions, omissions, or negligence of myself and others, including, but not limited to, MSS employees, volunteers, and program participants and their families.
I voluntarily agree to assume all of the foregoing risks and accept sole responsibility for any injury to my child(ren) or myself (including, but not limited to, personal injury, disability, and death), illness, damage, loss, claim, liability, or expense, of any kind, that I or my child(ren) may experience or incur in connection with my child(ren)'s attendance at MSS or participation in MSS programming ("Claims"). On my behalf, and on behalf of my children, I hereby release, covenant not to sue, discharge, and hold harmless MSS, its employees, agents, and representatives, of and from the Claims, including all liabilities, claims, actions, damages, costs or expenses of any kind arising out of or relating thereto. I understand and agree that this release includes any Claims based on the actions, omissions, or negligence of MSS, its employees, agents, and representatives, whether a COVID-19 infection occurs before, during, or after participation in MSS program.
I the undersigned, agree to the following:
• I understand the above symptoms and affirm that I, as well as all household members, do not currently have, nor have experienced the symptoms listed above within the last 14 days.
• For the safety of our staff and swimmers, any person with a temperature above 100.4 are to be sent home until they have no fever and no evidence of COVID-19 symptoms for 72 hours.
• I affirm that I, as well as all household members, have not been diagnosed with COVID-19 within the last 30 days.
• I affirm that I, as well as all household members have not been knowingly exposed to anyone diagnosed with COVID-19 in the last 14 days.
• I affirm that I, as well as all household members, have not traveled outside of the country or to any city other than our own that is or has been considered a "hot spot" for COVID-19 infections within the last 30 days
• I understand that this business cannot be held liable for any exposure to the virus or any other contagion caused by misinformation on this form or the health history provided by each client.

By signing below, I agree to each above statement and release Miller Swim School and its staff, owners, officers, and personnel, from any and all liability for the unintentional exposure or harm due to COVID-19. I also confirm that all information regarding my health and health history is represented as accurate and truthful. Finally, if any of the aforementioned changes throughout the course of my attendance at MSS, I will be held liable for notifying MSS staff of these changes and I am responsible for continuing adhere to the COVID-19 safety policy, even if this means a forfeiture of my or my swimmers lessons.

I understand that participation is entirely by my own choice and with the understanding that there is risk and the possibility of accidental injury in any activity involving unusual motion or height. I've read the above and agree.

Having been informed of the activities to be conducted by Miller Swim School I, a parent or guardian of the participant, give my approval for the above named student's participation in any and all activities of the program. In consideration of my or the student's membership acceptance in Miller Swim School, I hereby forever waive, and forever release and discharge Miller Swim School, their officers, owners, directors, professional consultants, and employees, from all liability for any and all damages and injuries suffered by the participant in connection with said use of the aforementioned equipment, instructors, and facilities. I've read the above and agree.

A non-refundable registration fee of $25 per family is due upon enrolling in each new school year program.

Payment options are monthly, semester up front, or school year up front. If you choose the monthly payment option, you may select ACH (auto debit from checking account) or auto charge to your credit card.

In doing so, you are authorizing Miller Swim School to draft your account or charge your credit card for the tuition amount at the time it is due.

Due to scheduling purposes, monthly tuition is due on the 21st of the current month for the next month's tuition.

A $15 late fee is added on the 24th of the current month for any unpaid dues for the following month.

Failure to pay by the 25th will result in your child being dropped from the class.

New students will then be allowed to enroll and students who have been dropped will need to re-enroll into the next available class time.

Monthly tuition will be based upon the number of classes available in a calendar month.

The number of classes received in a monthly session will vary depending upon the day you are scheduled for classes.

Each family must have an informed consent and waiver form on file.

A $30 fee will be charged for any returned checks.

Like your child's preschool or elementary school, WE DO NOT OFFER MAKE-UPS. We want all of our swimmers to receive their lessons at their scheduled class time, so we do not encourage make-ups. Our instructors are consistently here waiting for you at your schedules class time and making sure his/her class is the best possible learning environment for your child! If you must miss a class please see the following:

Students who miss a group lesson will be given a "Make-up Moolah" pass which allows them to attend five family swims for free. If a student is late to class 10 minutes or more without a call, the class may be forfeited.

We ask that you call to cancel a lesson you will not attend. No make-up will be scheduled for no shows. If a student is late to a lesson 10 minutes or more without a call, the lesson may be forfeited and no make-up will be offered. There will be a $10 charge for a make-up lesson cancelled by you.
Make-ups must be scheduled through the front desk and must be scheduled within 30 days of the missed lesson.

We cannot guarantee the make-up lesson will be with the student's regular instructor. Make-ups for a lesson cancelled by us will be scheduled with the student's regular instructor at no charge and must be scheduled through the front desk within 30 days of the missed lesson. In the event of a teacher absence, we will provide a substitute. If you prefer not to have a substitute, a make-up lesson with the child's teacher can be arranged for the $10 charge.

We do not offer a make-up class on an already scheduled make-up. If a scheduled make-up class is missed there will not be a refund.

SUMMER PRIVATE MAKEUP POLICY:
No makeup lessons are available.

We believe in working our students to their full potential, therefore, a schedule change may become necessary when a student is ready to progress to the next level. Parents will be responsible to make changes at the front desk in the case of a level change.

We allow 3 free permanent changes a school year due to the customer's schedule conflicts that arise. After that a $5 charge will be assessed for each schedule change. (this does not include changes in schedule due to a child's progression into a different level)

If only one child in a group lesson is present, the class time will be reduced to 20 minutes.

Also, we do our absolute best to have our listed classes make. In the event that a group class is scheduled and there are two (2) or less students enrolled in the class for a duration of time, please understand you might be required to switch to another class from that point forward to properly fill classes.

We will continue to make decisions regarding where teachers are placed based on our effort to provide the best swimming experience possible for everyone.

On occasion, it may become necessary to change a teacher's schedule that could result in a teacher change for your child.

All our instructors are trained in and teach the same method with his or her own unique touch, therefore you can be sure your child's best interest is of utmost importance.

SCHOOL YEAR CANCELLATION POLICY:

We require that you notify us at least 30 days prior to the end of the month you are wishing to cancel, in writing should you choose to cancel lessons. (Ex. Written cancellation for the end of December must be done BEFORE December 1st.)

A withdrawal notice thirty (30) days in advance of our swimmer's last class is required without exception.

If your swimmer has not yet begun classes, please drop by or email to cancel the class(es) in which your swimmer was enrolled (for refund information, please see below).

You may notify us in person by requesting a cancellation form, or by email (miller@millerswimschool.com).

-All annual Family Enrollment Fees are non-refundable.
-If you cancel class after the last day of the previous month or during a current month, no tuition will be refunded for that month.
-Year and semester up front discounts will be forfeited when calculating refunds.
-Money retained on the account as a credit will not hold a spot; lessons will be cancelled and will require re-enrollment to continue.

SUMMER CANCELLATION POLICY:
Cancellations before first day of class may receive a refund less the $35 cancellation fee per child/session. Cancellations first day of class or after may receive the Makeup Moolah Passes for what they will miss as there will be no refunds.

In the interest of the health and safety of all students in our program, Miller Swim School requires all children who are not completely potty trained to wear a reusable swim diaper; disposable diapers and disposable swim diapers are not permitted in our pool. Reusable swim diapers are available year round in our pro shop.

Students can earn progress ribbons as they demonstrate the skills required in each level, as well as graduation skills. Three or four ribbons are possible per level. (See the Ribbon display in the hallway) Ribbon Weeks are scheduled only during the School Year Session, August through May.

IF YOUR CHILD MOVES UP A LEVEL, IT IS YOUR RESPONSIBILITY TO MAKE ANY NECESSARY CHANGES AT THE FRONT DESK.

PHOTO RELEASE: I am aware that individual and group publicity photos and videos are taken from time to time and in consideration for my child(ren)'s participation I hereby grant my permission for my child's likeness to be used in Miller Swim School, publicity or advertising. Miller Swim School, will not post personal information without permission. I've read the above and agree.

In the event of an "accident" in the pool, i.e. bowel movement, vomit, etc., the pool will be evacuated. The appropriate procedure for such and accident will be administered according to the Oklahoma State Health Department regulations. If class cannot continue students will receive a Make-up Moolah pass.

Rarely are we closed due to weather. In the event of snowy or icy roads, our decision to continue or cancel lessons will be based on current driving conditions. Check our Miller Facebook page for immediate and updated messages with instructions or call 918-254-1988 for any further questions. If we make the decision to cancel lessons students will receive a Make-up Moolah pass.

Before beginning lessons, all swimmers must have a Medical Information and Release form on file. This information will be shared ONLY with the people directly responsible for a swimmer's care. To best serve our special needs and special care swimmers, our Staff must be made aware of as much information as possible to properly care for the swimmer. This can be done by filling out the Medical Information and Release Form, and by verbally communicating with our staff. Parents and/or guardians should inform MSS staff of any health concerns that arise after lessons have begun.

-How to get to the pool!
*At the TULSA LOCATION - Enter and exit pool area through locker rooms. Family dressing rooms are located in the main hallway. Children 6 years and older MUST go through their proper locker room.
*At the JENKS LOCATION - Please have swimmers prepared to enter the pool area in their swim suits only. No towels or shoes on the pool deck. Families may utilize the family changing rooms to change clothes, shower and go to the restroom prior to and after class. Deck supervisors will call swimmers in to class and will notify parents when it is time to pick them up. All swimmers will enter and exit pool deck through the double doors. Please utilize the locker room to dry off swimmers after their class before exiting the facility.


-Swimming attire: All swimmers need to be dressed in a swimsuit; cut-offs are not permitted. Students may use goggles in the lesson if desired. We would ask parents of Diaper Dolphins, Flippers and Starfish to wear reasonably modest swim wear.
-Babies and children not completely potty trained must wear a reusable swim diaper; disposable diapers and disposable swim diapers are not permitted in our pool. Reusable swim diapers are available year round to purchase in our pro shop
-Parents are responsible for their children before, during and after lessons.
-To avoid interrupting classes in session, parents are required to view lessons from the observation rooms provided. If you have a question, comment or concern that you would like to discuss with your child's teacher, you are welcome to go out to the deck during the last 5 minutes of class.
-Please respect others by silencing cell phones in the observation rooms. If you must make/receive a call, please do so outside of the observation rooms.
-The following are strictly prohibited on Miller Swim School premises: Smoking ~ Alcohol ~ Profanity ~ Weapons
-Please do not reserve dressing rooms ~ No glass containers on the pool deck ~ No pets allowed (other than service animals)

We provide observation rooms for our parents viewing pleasure. We ask parents not be on the deck during lessons as it is a distraction to our swimmers. In order to provide to the most comfortable viewing space we ask that you refrain from phone conversations and watching videos or playing games without a noise cancelling device.

I Agree to All of the Above
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