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• Permission to be at Pool Alone

  Children 10 to 12 years old may be at the pool alone until 5:30 pm with parent consent.

  Name

  This field is for validation purposes and should be left unchanged.

  Child Name(Required)

  First Last

  Parent Name(Required)

  First Last

  Phone(Required)

  Email(Required)

  Address(Required)

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  Terms and Conditions(Required)

  Children 10 through 12 years old who have passed the swimming test may come unaccompanied to the Club until 5:30pm, but must have written permission from a parent on file with the manager.
  
  By signing this form, I confirm that I have read and understood the terms outlined above.
  
  I freely and voluntarily give my consent to participate in the activity, program, or service described. I understand the responsibilities, requirements, and any potential risks involved.
  
  I accept the terms and conditions of this agreement and agree to comply with all related rules and policies. I understand that I may withdraw my consent at any time by contacting the organization, recognizing that doing so may affect my ability to continue with the related service or activity.

  I confirm that I have read and understood the terms outlined above.

  Signature(Required)

  

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