MSCH Aquatics JG Lifeguard Conditioning Program

Mira Costa High School Aquatics

Junior Lifeguard Conditioning Program

2 Programs:

Train and Pass the Jr. Lifeguard Swim Test! or

Conditioning Workout for Returning JGs

 3 Sessions

Session 1 April 11-April 22^nd   Cost $100

Session 2 April 25- May 5^th Cost $100

Session 3 May 9-19^th Cost $ 100

All Session workouts are Mon/Wed/Thurs  5:15-6:15 @ Mira Costa Pool

Sign-up to reserve your space by Thursday April 7^th

On Site Registration if Space Available @Mira Costa Pool April 11^th 4-5 pm

You may drop off at MCHS office (attn: J. Reichardt) or mail to

MCHS

Attn:  Jon Reichardt

1401 Artesia Blvd, Manhattan Beach, CA 90266

      All participants are expected to have mastered basic swimming skills. The program is designed to refine basic skills, condition, and improve swimming times. All classes are taught by members of the Mira Costa High School Swim and Water Polo teams under the supervision of Coach Jon Reichardt.  This is a fundraiser for the Mustang Aquatics Boosters Club.  Questions? See Aquatics website for information mcaquatics.com.

Please make your check payable to: MUSTANG AQUATICS BOOSTERS, along with the completed form below to the sign-ups session.

----------------------------------------------------------------------------------------------------------Swimmer Name_____________________________________Parent Name________________________________________

Swimmer Age_____________      Male/Female   Daytime Phone___________________________________________

Session #(s)___________ Conditioning workout__________ Testing _______________ 

In consideration of my child’s voluntary participation in Junior Lifeguard Training Program, I, the undersigned parent or guardian of ________________________________________hereby acknowledge and voluntarily assume all risks of bodily injury, personal injury, property damage or wrongful death that may arise out of or in any way connected with this program.  I acknowledge that my child is in good physical condition for this program. I, for myself, my heirs, executors, administrators assigns, hereby release, waive, discharge and relinquish any action or causes of action, aforesaid, which may hereafter arise for me and for my estate, and agree that under no circumstances will I, or my heirs, executors, administrators, and assigns prosecute, present any claim for personal injury, bodily injury, property damage, or wrongful death against the Manhattan Beach Unified School District, the Mustang Aquatics Boosters, and or any of their officers, employees, or volunteers.  This waiver shall not apply to any occurrences that may arise solely out of the negligence of the District, its employees or agents.

In the event of illness or injury, I do hereby consent to whatever x-ray examination, anesthetic, medical, surgical or dental diagnosis or treatment and hospital care and emergency transportation considered necessary in the best judgment of the attending physician, surgeon or dentist and performed under the supervision of a member of the medical staff of the hospital or facility furnishing medical or dental services.

Parent  Guardian Signature______________________________________________________________  Date______________________________

Name of Parent Guardian PRINT _____________________________________________________________________________________________

For Office Use Only:  Group #______________Check #__________________ Cash____________________