File - LONG ISLAND AQUATIC CLUB

LONG ISLAND AQUATIC CLUB
5495 SOUTH RIVER DRIVE MANOTICK, ONTARIO, K4M 1J3
WEBSITE: www.longislandaquaticclub.weebly.com
TELEPHONE: 613-692-6241
GENERAL INFORMATION
LIAC is a non-profit organization, which maintains its programs through the work of volunteer members.
Participation promotes cost effective operations, affordable membership dues, and community spirit. LIAC
patrons enjoy three heated pools, spacious lawns and furniture. Our lifeguards are all certified and
employed by LIAC to provide safety and security for everyone using the facilities. We are unable to accept
debit or credit. Please observe the posted rules, and the direction of the on-duty staff.
NOTE: Membership limit is 250. All applications are processed on a “first come, first served” basis
SEASON DATES
Open: Monday, June 1, 2015 at 4:00 pm
Closed: September 7, 2015 at 5:00 pm
Limited services after September 3rd
HOURS
June Weekday Hours: 4:00 pm – 8:00 pm
July and Aug. Weekday Hours: 1:00pm – 8:00 pm
All Weekends: 11:00 am – 8:00pm
Early Bird: 6:45- 7:45 am Weekdays June 29 - Aug 21
Swimming Lessons
Session #1 – June 29- July 10
Session #2 – July 13- July 24
Session #3 – July 27-Aug 7
Session #4 – Aug 10- Aug 21
Marlin Swim Team
Jr. Team (3 days/wk.) July 1-Aug 17
Sr. Team (5 days/wk.) July 1-Aug 17
Please observe the No Parking signs. Fire lane bylaws are enforced and you will be ticketed. Do not
park in designated library and reserved parking. Maintenance or operating procedures may require
the limiting of pool areas. When necessary, LIAC will restrict access to the facility. Although very
rare, this can include members.
REGISTRATION
Please complete the attached APPLICATION FORM. Incomplete &/or illegible applications will be
returned and not processed. Mail the completed application with cheques to the above address. After
June 1, the completed forms and cheques may be brought to the pool. An early registration discount is
offered to individuals who submit the completed application form and full payment for membership dues,
on or before APRIL 27, 2015. ABSOLUTELY NO EXCEPTIONS REGARDING THE CUT-OFF DATE,
WHICH IS DETERMINED BY POSTMARK ONLY. A 10% discount is available to those 65 yrs and older.
In order to qualify for a single membership, a child must be ten (10) years old or eight (8) years old
and completed Red Cross Swim Kids 5 by June 1, 2015.
NOTE: Membership does not include access to boat launch and is non-refundable and nontransferable.
FEES (applicable tax included)
Family: Before April 27, 2015 (postmarked)
starting @ $595.00
After April 27, 2015
starting @ $620.00
Single: Before April 27, 2015 (postmarked)
$300.00 (minimum age requirement as above)
After April 27 , 2015
$310.00 (minimum age requirement as above)
Extended Family: (living full time at residence)
$185.00 per person
Caregiver Pass: (babysitter)
$185.00 per person
A one time building fee is applicable to all new memberships on the following basis - $40.00 for families
and $25.00 for single membership.
PLEASE RETAIN THIS PAGE FOR YOUR INFORMATION
Pool Rules on page 8 of the Package
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Long Island Aquatic Club: 5495 South River Drive, Manotick ON K4M 1J3
2015 MEMBER SERVICES
Daily Guest Admission
$10.00 per person (member must purchase and be
present at all times with guest) Restrictions may apply.
GENERAL PUBLIC SERVICES
Earlybird Adult Swim (non-member)
Daily Admission (when space available) *
*Proof of age may be required
$5.50
$15.00
Day passes, guest passes, and volunteer passes from previous years are not valid.
SWIM LESSONS – RED CROSS PROGRAM (no membership required)
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Ten lessons per session are offered (Monday-Friday mornings for two weeks).
Registration is by mail until June 1st, and then in person at the pool office. We do not accept
debit or credit. Returned cheques will be subject to a $25.00 administrative charge.
Private lessons are available on a space available basis and can only be booked in person at the
pool office after June 15th (No registration by mail/phone).
Payment is due at the time of registration. Postdated cheques are not accepted.
Please be sure that your children (child) want(s) to swim before registering.
We do not give refunds unless there is a medical reason (medical doctor’s certificate) for
withdrawing. An administrative fee of 20% is required. Refund deadline is August 31, 2015.
Because all lessons are progressive, we cannot split a session.
In extreme circumstances (emergencies, weather, etc.), L.I.A.C. cannot provide refunds or make
up for lost time.
In order to have all children placed in proper levels, a photocopy of the last level achieved
must accompany your registration form.
If you are unsure of your child’s level please have a swim assessment done in early June. We
are often unable to switch classes after you complete your registration.
Waterproof non-spray on sunscreen only. Sunscreen must be applied a minimum of 20
minutes before entering the pool.
Provincial regulation states that all persons must shower before entering the pool.
All lessons run rain or shine and on Stat. Holidays.
All pools are heated.
Note: Preschool Levels are identical to Swim Kids Levels 1-3. The children are grouped accordingly to
age only. The same skills and strokes are taught, with more games for the younger children.
Lesson Classifications
½ hr. x 10 lessons
¾ hr. x 10 lessons
1 hr. x 10 lessons
*Bronze Medallion & Emergency First Aid (excl. book)
*Bronze Cross (excl. book)
Fee
$81.00
$85.00
$95.00
$195.00
$180.00
* NOTE: A maximum class size of 14 persons and a minimum of 10 for each Bronze class
- 4th session only. Book price is approx $50.00 to be used for both Bronze levels.
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Long Island Aquatic Club: 5495 South River Drive, Manotick ON K4M 1J3
2015 APPLICATION FORM FOR MEMBERSHIP
Instructions:
1. Please print all information, and complete all information on both sides of the application form.
Incomplete forms will not be processed, and you will risk not getting a membership.
2. Return the completed form and your cheque for payment to the above address. Please note we
do not process applications which include post-dated cheques for payment.
3. Cheques payable to Long Island Aquatic Club or L.I.A.C. Please no staples.
4. Applications must be signed. Unsigned applications will be returned.
5. Please submit a separate cheque for membership.
For Family Definitions please see reverse.
Family Name (please print clearly):
Parents’ / Guardians’ first name(s):
Address:
City:
Postal Code:
Telephone (Home):
Work:
Emergency:
Email:_______________________________________________________________________________
*For extended family and dependent children definitions, see reverse*
Children’s Names
Required field:
Birth date
(D/M/Y)
Ages 0-16
I understand that
children must be by birth or
legal adoption in order to be
included in a family
membership. Proof may be
required.
Full-time student Ages 17-21
dependent under income tax act:
Proof of student status required
Full-time student Ages 22-25
dependent under income tax act:
Proof of student status required
Extended Family
Living full-time in residence, proof of address required.
May include foster children – see reverse for details
Name
Caregiver Pass
Babysitter (50 admissions) – see reverse
for details
Name
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Long Island Aquatic Club: 5495 South River Drive, Manotick ON K4M 1J3
2015 MEMBERSHIP APPLICATION FORM - part 2
VOLUNTEER ACTIVITIES – Please indicate at least one volunteer activity for the 2015 season. You may
be phoned as early as May 1st in regards to your volunteer activities.
1. Spring Workparty (4 hours)
2. Provide food for Workparty
3. Supply donations
MEMBERSHIP CARDS AND PHOTOS:
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Photo ID’s will be taken in the month of May for membership cards.
Returning members may not require a new photo. However, if your young child/infant requires a
new photo for his or her membership card due to significant growth, please indicate here and you
will be contacted to arrange a time: YES
NO
2015 membership waivers and ID’s will be available at the pool office beginning May 27 th
Please note that photo ID (Drivers Licence, Passport, Birth Certificate etc.) is required for every
member when coming down to get their picture taken and when picking up membership package.
I CERTIFY THAT THE INFORMATION ON THIS APPLICATION IS CORRECT, and I agree to abide by the
regulations stipulated in the General Information, and at the pool. I agree to show membership cards for each
member when coming to the pool, and understand that access may be denied if membership cards are not
presented for each member. I acknowledge all rules regarding sunscreen on the site and agree to follow
Ontario regulation that states all persons must shower before entering the pool.
SIGNATURE:
I acknowledge that my membership is non-refundable and
non-transferable for any reason (unsigned forms will not be
processed).
*Membership Fee - Family: ___________________
*Membership Fee - Single: ___________________
Extended Family @ $185.00: _________________
Caregiver Guest Pass @ $185.00:_____________
Building Fee (new members only): ____________________
*Access to boat launch not included
TOTAL (tax included): _______________________
PLEASE SUBMIT SEPERATE CHEQUES FOR MEMBERSHIP, LESSONS, AND SWIM TEAM
 When your cheques are deposited, that is your confirmation for registration.
 Receipts available May 27-Sept 1 of the current year. Any receipt required at any other
time will be subject to a $20 administrative fee.
DUE TO ADMINISTRATIVE PROBLEMS, THE FOLLOWING POLICY IS NECESSARY
 Accidents do happen, but because of the time and paperwork, all NSF cheques are subject to a
$25.00 service charge. Replacement payments must be in cash, certified cheque, or money order.
Important Notice – Family Membership Details
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“Family”: is defined as immediate dependent family only, living full-time at the address on the application.
Children by birth or legal adoption only. A dependent is a person under 21 or a full-time student 25 yrs. of age or
under, or as outlined by the income tax act. Proof of full-time student status is required.
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Extended family: (e.g. grandparents) living full-time at the residence on the application. This also includes fulltime live-in caregivers and C.A.S foster children. Extended family are to be identified separately on the application,
and must pay an additional $185.00 per person for seasonal membership. Proof of residence required.
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Caregiver Pass: Limit one per year. This pass is offered to family membership holders only, and may be used to
accommodate family situations where a non-resident caregiver is supervising member’s children. The pass costs
$185.00 for the season and will permit 50 admissions to the pool. It is issued to the family and can only be used
by the babysitter when he/she takes the member children to the pool.
NOTE: PLEASE RETAIN A COPY FOR YOUR REFERENCE
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Long Island Aquatic Club 2015 Membership
Waiver and Release of Liability Form
I hereby acknowledge that I am aware of the risks and hazards associated with or related to
swimming, diving, and being in, around or near a swimming pool. The risks and hazards include,
but are not limited to, injuries from:
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death from drowning
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Executing strenuous and demanding physical that are part of swimming or diving
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Water, grass, turf, and other surfaces including bacterial infections and rashes
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Falls to the ground due to uneven or irregular terrain or surfaces
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Collisions with pool walls and diving boards
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Failure to properly use any piece of equipment or from the mechanical failure of any
piece of equipment
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Extreme weather conditions (including lightning) which may result in heatstroke,
sunstrokes, hypothermia, or death
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Contact, colliding or being struck by other participants, spectators, equipment, or
vehicles
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Vigorous physical exertion and strenuous cardiovascular workouts
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Exerting and stretching various muscle groups
FURTHERMORE, I am aware that I or my children or wards may:
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Sustain injuries from swimming or diving that can be severe, cause head or spinal cord
injuries and may even be fatal
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Experience anxiety while challenging himself/herself during the activities, events, and
programs at the pool
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Come into close contact with other participants, including the possibility of accidental
and unexpected contact including, but not limited to, the possible reckless conduct of
other participants.
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Experience an increase in the risk of injury as he/she becomes fatigued
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I and my children or wards will voluntarily use the pool facilities with full knowledge of the
danger involved and hereby agree to accept any and all risks of property damage, personal
injury, or death. I and my children or wards have a personal responsibility to follow any and all
safety rules and procedures established by the Long Island Aquatic Club and that are associated
normally with swimming and other pool use activities. Following such rules will reduce, but not
eliminate, the risk of injury or death from swimming participation.
I do assume all risks and hazards incidental to swimming participation and hereby irrevocably
waive all claims whatever which I or my children or wards may have against the Long Island
Aquatic Club.
I do hereby release, absolve, indemnify and save harmless the Long Island Aquatic Club, their
employees, volunteers, officers, directors, lifeguards, coaches and supervisors from any claims,
demands, actions, and costs which I may have as a result of my children or ward’s participation.
I hereby acknowledge my (our) acceptance of this waiver and release, knowing it to be a legal
document and of legal force and effect, and agree that this waiver and release is a condition of
membership in, and participation in the activities of, the Long Island Aquatic Club.
__________________________
Parent or Guardian
_________________
Date
Family Members covered by this Waiver and Release:
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