Waiver Apps for water activities are practical and intelligent in business.

Welcome to the Lenny Krayzelburg Swim Academy 

Water Aerobics Registration Form:

In consideration of the Participant(s) being allowed by Lenny Krayzelburg Swim Academy (LKSA) to participate in and/or attend any and all activities associated with the Lenny Krayzelburg Swim Academy (LKSA). I hereby agree to waive any and all claims, release, discharge, hold harmless, indemnify, defend, and covenant not to sue, for myself, my heirs, executors, administrators, and assigns, LK Swim School Inc. DBA as Lenny Krayzelburg Swim Academy, the Westside Jewish Community Center, its officers, directors, employees, agents, volunteers and members from and against any and all claims or demands due to or arising from bodily injury, personal injury, illness or death, as well as any and all property damages sustained of any nature which might be incurred by me and/or the Participant while participating in said activities. By signing below, the Participant acknowledges and accepts the risks of physical injury associated with participation in the activity described above. The Participant accepts personal financial responsibility for any medical expenses, bodily injury, personal injury, and property damages sustained during on in any way connected with or related to the activities. I knowingly and fully assume all risks, for myself and my child/ children, associated with participation.

The undersigned agrees to abide with all rules and conditions of participation posted or explained by the Lifeguards and employees at the Lenny Krayzelburg Swim Academy.

Please enter your name.
Please enter your email.
Please enter your phone number.
Please enter your phone number.
Please enter valid date.
Please check it here.
Please enter address.
Please enter your answer here.
Please select at least one choice above.


  • LKSA offers a satisfaction guarantee on all classes. We do not offer refunds, however if you are not happy with any class, please notify the office on the day of the class and we will provide a FREE make-up class.
  • While we strive to do so, LKSA cannot guarantee the same instructor for each class. If the instructor is absent, another qualified instructor will be assigned or ‘free swim’ will be offered.
  • I understand that unless otherwise announced, there is no free swim time during class. Swimmers enter the water when called by their instructor and exit at the end of their class.
  • I understand that there are certain risks involved with swimming and related activities. I hereby agree to assume all liability for myself while at LKSA / WJCC, and I further agree to hold harmless the officers of LKSA, WJCC and their employees for any complications or injuries that may result from attending a class.
  • I do hereby further declare myself to be physically sound and suffering no condition, impairment, disease infirmity or other illness that would prevent / hinder my participation in any water exercise program.
  • The LKSA and WJCC recommend a medical practitioner’s approval for participation in water exercise programs and the use of any / all exercise equipment.
  • I authorize LKSA to use email, text and voice mail as means of communication for any updates and announcements regarding LKSA / WJCC activities and ONLY FOR THIS PURPOSE.
  • By entering the Aquatic Center, I consent to be photographed, videotaped, filmed, audio recorded or recorded in any other manner. My presence here acknowledges that such photographs, film, video, audio recording or any forms of recording of me and my family may be used by Lenny Krayzelburg Swim Academy, and/or by its successors, assignees and licensees for marketing and promotional purposes only.
Please check it here.
Click to sign
Please sign here.