The City School

Northern Region

Summer Swimming Registration Form

Name: _____________________________
Age (Date of Birth) _____________________________
Parent / Guardian Name _____________________________
3 photographs
Parent/Guardian NIC Number_____________________________
Photo copy of id card Size 1x1

Address: _____________________________________
_____________________________________________________
Phone No: ________________________________
Emergency Contact No: _______________________________

Important Instructions:
1. Members are requested to use showers before entering the swimming pool.
2. Members to swim in proper swimming attire, costumes, goggles, caps and bring
loose footwear and towels along.
3. Members are advised to follow the instructions of the swimming coaches.
4. Each member must show respect for the coaches and other members thus behaving
in an appropriate manner at all times.
5. Mobile phones/cameras are not allowed in the pool premises.
6. Diving is not allowed in swimming pool.
7. Administration (School/swimming pool) will not be responsible of any valuable loss.
8. The institute will not be responsible for any mishap during use of the pool.
9. Spitting, vomiting, gargling or urinating inside the pool is strictly prohibited.
10.Parents are responsible for pick and drop.

I have read and understood all the rules and regulations, and will abide by these rules. Any
violations to these rules would lead to the cancellation of membership.

Name: ______________________________

Registrant’s signature: ____________________

Parent’s / Guardian’s signature: ______________________