Youth Swim Team Fall 2021


Contact Information

enter "nm" if not a member of Montecito Heights Health Club

Child's Information (One form per child)
Session Info

White Group - Must be able to swim 25 meters of freestyle (Max age of 8)
Green Group - Must be able to swim Freestyle, backstroke and one other stroke. Does not have to be perfect. (8-13yrs)
Black Group - (13yr - 20yr old)

Payment Method

If you are club member, you may charge to account. If you are a non-member please provide credit card details

Please write your name in the box above to acknowledge the liability waiver.
In consideration for permission to enter upon and use the facilities and premises of Montecito Heights Health and Racquet Club (“MONTECITO”), I, for myself, and on behalf of the minor child identified above, our heirs, personal representatives and/or assigns, do hereby release, waive, discharge, and covenant not to sue MONTECITO, its owners and/or employees, from liability for any and all claims for personal injury, illness, death, property damage, or any other claim, including but not limited to claims arising out of the negligence of MONTECITO, its instructors, its employees or its agents. This waiver and release of liability applies to all MONTECITO activities, without limitation, regardless of whether participation is self-directed or organized and led by an employee or agent of MONTECITO. It is expressly agreed that MONTECITO shall not be liable for any injuries or any damages to any minor, or be subject to any claim, demand, damages or causes of action arising out of the use of, or occurring on, any MONTECITO premise or facility regardless of whether it was caused by the negligence of MONTECITO. This waiver and release is intended to be as broadly interpreted as allowed under California law.


Please note our NEW refund policy. A 50% cancellation fee will be charged if request is received less than 7 days prior to the start of each month within a season. No refunds will be issued after 4:00 pm 7 days prior to your session. Also, once class begins you will be responsible for full payment despite your decision not to continue with the lesson based on your child’s reaction to the instructor, the water, the weather, child’s illness, etc. Classes cancelled due to inclement weather, poor air quality or instructor emergency will be rescheduled if time allows. If they are unable to be rescheduled, a credit will be issued for the following month.

Writing your name in this field verifies you understand and agree to the following terms:
This is a monthly program and you will be billed on the first of each month for all practices held that month. Refunds will be issued if cancelled classes (due to inclement weather, air quality, instructor emergencies, etc) are not rescheduled. Otherwise, no refunds will be issued for missed classes by participants.