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SABAS ACADEMY

27-1675 The Chase Rd, Mississauga L5M 5Y7


www.sabasacademy.com

647-272-1745

Permission Form for Swimming Program


As part of our Physical Education Program, swimming classes will be offered in the
River Grove Community Center InshaAllah. This will be a well-supervised
program. There will be lifeguards present, and the swimming instructor of our
students. All students in SK will wear life-jackets or swimming aids in the pool until
identified by the swimming instructor.
Your child will need to bring a clearly labeled swimsuit and towel in a labeled bag on
their swim day.
Students with long hair must have it tied back in a ponytail or a swim cap. The
children will be rinsing off before they change into their regular clothes. If you do
not want your childs hair to get wet, please send a swimming cap. DAYS &
TIMINGS: Thursdays at (12:00-1:00) pm. FEES: $60/month
Please complete the following permission form and return it to the school.
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I, _____________________________________________ (parent/guardian) give permission
for my child, ________________________________________in Grade ________to participate
in Swimming Program.
Has your child taken swim lessons? YES or NO
_______________________________________________
Beginner Swimmer
(describe)____________________________________________________________ Intermediate
Swimmer (describe)_________________________________________________________ Does
your child have a medical condition or take medication that would be relevant to
swimming?____________ If yes, please specify:
_____________________________________________________________________________________
_____________________________________________________________________________________
I would like to volunteer for these swimming activities. Yes: _______________
________________

N0:

I agree to hold harmless Sabas Academy, its teachers and employees for all
incidents alleging bodily injury or property damage or loss occurring while the
person herein described is a participant in swimming classes.
Signature _______________________________________________________
Date:________________

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