YMCA Summer Swim Lessons
Santa Maria Valley Class Offerings
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9:30am - 10:15am (*Skipper-Fish) 
5:45pm - 6:30pm (*Skipper-Fish)
All Classes are Monday - Friday
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6/18/12 - 6/22/12
6/25/12 - 6/29/12
7/2/12 - 7/6/12 (4 days only-price adjusted)
7/9/12 - 7/13/12
Cost:
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Members - $35
7/16/12- 7/20/12
7/23/12 - 7/27/12
7/30/12 - 8/3/12
8/6/12 - 8/10/12
Participants - $55
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Registration ends one week prior to class start. Class sizes are limited.Late registration upon availability.
Register at the YMCA Front Desk or call 937-8521 for more information. Financial Assistance is available to those who qualify.
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Rain does NOT cancel classes!
No refunds unless class is cancelled!
Class changes can be made 1 week prior to class
with a $5.00 transfer fee per transaction!
Class Levels
Skipper: Ages 3-5, beginners * (30 min. class only)
Polliwog: Ages 5+ beginners*
Guppy: Intermediate*
Minnow: Intermediate*
Fish and Above: Advanced*
* Class levels are dependent upon the child's swimming ability. Instructors may move a child to a more appropriate class if needed.
Santa Maria Valley Registration Form

Child's Name_________________________________________________ Date of Birth___________________ Age_______________
Address__________________________________________ City_______________________ State __________ Zip______________
Home Phone___________________ Parent Name____________________________________ Parent Phone___________________
Classes:
 6/18/12 - 6/22/12
 7/16/12 - 7/20/12
 6/25/12 - 6/29/12
 7/23/12 - 7/27/12
 7/2/12 - 7/6/12 (4 days only-price adjusted)
 7/9/12 - 7/13/12
 7/30/12 - 8/03/12
 8/6/12 - 8/10/12
Class Time:
Class Level:
For Office Use Only:
 9:30am - 10:15am
 5:45pm - 6:30pm
 Skipper  Polliwog Guppy Minnow Fish and Above
Cost $_______________ Receipt # ________________________ Staff Initials________________
Santa Maria Valley YMCA Release/ Waiver
I, the undersigned parent/person having legal custody of the above said minor, give permission for the minor to participate in the YMCA program described above. The minor is physically able and
mentally prepared to participate in all activities for this program. I hereby voluntarily and knowingly assume all risks and dangers inherent and incidental to the activities of the program. I will not
hold the YMCA liable for any injuries incurred during the program whether caused by equipment or the acts or omissions of others including YMCA personnel. I further agree and specifically
intend to waive as to the YMCA and staff, officers and directors thereof any claim known or unknown to me. I do hereby authorize the YMCA as agent for the undersigned, to consent with respect
to the minor to any x-ray examination, anesthetic, medical, dental, or surgical diagnosis or treatment, and hospital care which is deemed advisable by any physician and/or surgeon whether such
diagnosis or treatment is rendered at the office of the physician or at the hospital. I understand that the YMCA is not responsible for costs for medical care. If I participate in the program, whether
as a coach, instructor, aide, spectator, or participant, I presently waive as to the YMCA and staff, officers, and directors thereof, any claim presently known or unknown damage to property or
personal injury whether caused by equipment or the acts or omissions of others including YMCA personnel. I give permission for the YMCA to use, without limitation or obligation, photographs,
film footage, or tape recordings which may include my child’s image or voice for purposes of promoting or interpreting YMCA programs
Parent Signature_________________________________________ Date_________________
Questions? Call Santa Maria Valley YMCA 937-8521
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YMCA Swim Lessons
Santa Maria Valley YMCA Evening Lessons
5:45pm - 6:30pm
Monday - Wednesday - Friday
6 classes
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April 16, 2012 - April 27, 2012
April 30, 2012 - May 11, 2012
May 14, 2012 - May 25, 2012
June 4, 2012 - June 15, 2012
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Class Levels:
Skipper: Ages 3-5* (30 min. class only)
Polliwog: Ages 5 and up, non-swimmers*
Guppy: Ages 6 and up*
Minnow: Ages 8 and up*
* Class levels are dependent upon the child's swimming ability. Please check www.smvymca.org for more information
Minimum of 3 students required to hold class.
Cost:
 Members - $40  Participants - $60
Registration ends one week prior to class start. We will take late registration if space is available.
Register at the YMCA Front Desk
Rain does NOT cancel classes!
No refunds unless class is cancelled
Class changes can be made 1 week prior to class
with a $5.00 transfer fee per transaction!
Santa Maria Valley YMCA Registration Form
Child's Name_________________________________________________ Date of Birth___________________ Age_______________
Address__________________________________________ City_______________________ State __________ Zip______________
Home Phone___________________ Parent Name____________________________________ Parent Phone___________________
Classes:
Class Level:
For Office Use Only:
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
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 Skipper
April 16, 2012 - April 27, 2012
April 30, 2012 - May 11, 2012
May 14, 2012 - May 25, 2012
June 4, 2012 - June 15, 2012
 Polliwog
 Guppy

Minnow
Cost $_______________ Receipt # ________________________ Staff Initials________________
Santa Maria Valley YMCA Release/ Waiver
I, the undersigned parent/person having legal custody of the above said minor, give permission for the minor to participate in the YMCA program described above. The minor is physically
able and mentally prepared to participate in all activities for this program. I hereby voluntarily and knowingly assume all risks and dangers inherent and incidental to the activities of the
program. I will not hold the YMCA liable for any injuries incurred during the program whether caused by equipment or the acts or omissions of others including YMCA personnel. I further
agree and specifically intend to waive as to the YMCA and staff, officers and directors thereof any claim known or unknown to me. I do hereby authorize the YMCA as agent for the
undersigned, to consent with respect to the minor to any x-ray examination, anesthetic, medical, dental, or surgical diagnosis or treatment, and hospital care which is deemed advisable
by any physician and/or surgeon whether such diagnosis or treatment is rendered at the office of the physician or at the hospital. I understand that the YMCA is not responsible for costs
for medical care. If I participate in the program, whether as a coach, instructor, aide, spectator, or participant, I presently waive as to the YMCA and staff, officers, and directors thereof,
any claim presently known or unknown damage to property or personal injury whether caused by equipment or the acts or omissions of others including YMCA personnel. I give
permission for the YMCA to use, without limitation or obligation, photographs, film footage, or tape recordings which may include my child’s image or voice for purposes of promoting or
interpreting YMCA programs
Parent Signature_________________________________________ Date_________________
Questions? Call Santa Maria Valley YMCA 937-8521
YMCA Swim Lessons
Santa Maria Valley Saturday Class Offerings
10:00am - 10:30am (Parent and Child) and (Skipper )
10:30am - 11:15am (Skipper - Fish)
5 Saturday Classes
April 21, 2012 - May 19, 2012
June 2, 2012 - June 30, 2012
July 7, 2012 - Aug. 4, 2012
Aug. 11, 2012 - Sept. 15, 2012 (no class on 9/1/12)
Sept. 22, 2012 - Oct. 20, 2012
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



Cost:

Members - $35

Participants - $55
Registration ends one week prior to class start. We will take late registration if space is available.
Register at the YMCA Front Desk
Rain does NOT cancel classes!
Class Levels:
 Parent and Child (Parent must get in water) * (30 min. classes)
 Skipper: Ages 3-5 * (30 min. classes)
 Polliwog: Ages 5 and up *
 Guppy: Ages 6 and up *
 Minnow: Ages 8 and up *
 Fish and Above: Advanced *
No refunds unless class is cancelled
Class changes can be made 1 week prior to class
with a $5.00 transfer fee per transaction!
Please check www.smvymca.org for class information.
Minimum of 3 students required to hold class.
* Class levels are dependent upon the child's swimming ability. The YMCA may move children to the appropriate class.
Santa Maria Valley Registration Form
Child's Name_________________________________________________ Date of Birth___________________ Age_______________
Address__________________________________________ City_______________________ State __________ Zip______________
Home Phone___________________ Parent Name____________________________________ Parent Phone___________________
Classes:
Class Level:
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Skipper 
For Office Use Only:
April 21, 2012 - May 19, 2012
June 2, 2012 - June 30, 2012
July 7, 2012 - Aug. 4, 2012
Aug. 11, 2012 - Sept. 15, 2012 (no class on 9/1/12)
Sept. 22, 2012 - Oct. 20, 2012
Polliwog 
Guppy 
Minnow 
Fish and Above 
Parent and Child
Cost $_______________ Receipt # ________________________ Staff Initials________________
Santa Maria Valley YMCA Release/ Waiver
I, the undersigned parent/person having legal custody of the above said minor, give permission for the minor to participate in the YMCA program described above. The minor is physically
able and mentally prepared to participate in all activities for this program. I hereby voluntarily and knowingly assume all risks and dangers inherent and incidental to the activities of the
program. I will not hold the YMCA liable for any injuries incurred during the program whether caused by equipment or the acts or omissions of others including YMCA personnel. I further
agree and specifically intend to waive as to the YMCA and staff, officers and directors thereof any claim known or unknown to me. I do hereby authorize the YMCA as agent for the
undersigned, to consent with respect to the minor to any x-ray examination, anesthetic, medical, dental, or surgical diagnosis or treatment, and hospital care which is deemed advisable
by any physician and/or surgeon whether such diagnosis or treatment is rendered at the office of the physician or at the hospital. I understand that the YMCA is not responsible for costs
for medical care. If I participate in the program, whether as a coach, instructor, aide, spectator, or participant, I presently waive as to the YMCA and staff, officers, and directors thereof,
any claim presently known or unknown damage to property or personal injury whether caused by equipment or the acts or omissions of others including YMCA personnel. I give
permission for the YMCA to use, without limitation or obligation, photographs, film footage, or tape recordings which may include my child’s image or voice for purposes of promoting or
interpreting YMCA programs
Parent Signature_________________________________________ Date_________________
Questions? Call Santa Maria Valley YMCA 937-8521