Public Swimming Lessons

1. I hereby certify that my child is in reasonable health and is capable of participation in the program indicated above. I assume all risks and hazards incidental to the conduct of this program. I hereby authorize the Township of Howick to obtain medical treatment for my child in the event that parent and emergency contact cannot be reached.

2. I hereby agree to save harmless the Township of Howick , its employees, its board, and contractors from any and all causes of action and or claims for any physical injuries, personal losses, or damage done to personal property while on the premises of either the Township of Howick , or properties associated with specific programs of the organization.

3. I agree to indemnify and save harmless the Township of Howick from any claims or demands arising out of any such injuries or losses.

4. It is the sole responsibility of the parent, guardian or designate. To provide all transportation needs to and from the above mentioned program(s). All Participants are to be dropped off or picked no later than five minutes prior to or after the program start and end time.

5. Photo/Video Authorization: I hereby give my consent for the Township of Howick to use photos/video coverage of myself and/or minor child/ward in future program guides, flyers, videos, websites, etc. I understand that the volunteers and staff may take photos/video coverage of its programs and events, and their participants from time to time and that these photos/video coverage remain the property of the Township of Howick. Following local distribution of these materials, requests for copies of photos/videos will be honored, when possible, but at my expense. *

Payments are due on the first day of your scheduled lessons  Pay by cash, cheque or Interac at:

Howick Optimist Pool 2046 James Street, Gorrie, ON N0G 1X0. 

Please call 519-335-3883 to check if staff are on site