a68bSwimming Form Students

8/2/2019 a68bSwimming Form Students

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Annexure I

AMITY SWIMMING POOLREGISTRATION FORM FOR STUDENTS

1. Name of the Applicant : .(In Capital Letters only)

2. Enrolment No. .. ..

3. Course ...

4. Institute : ..

5. Date of Birth :. Age : Male Female

6. Fathers Name : .

7. Residential Address:..

...Tel : . Mob: .

8. Present Address: ...

Tel : .....Mob: .

9. Name of local Guardian and Contact No. .........

10. Whether you know the Swimming Yes No

DECLARATION

I here by declare that:1. I know / do not know swimming and I will use the Swimming Pool at my own risk.

2. I have read the instructions and hereby undertake to abide by them.

3. I am using the Swimming Pool in Amity Campus Sector 125, Noida at my own risk. I herebyIndemnify the Amity University and the Swimming Pool Management for any injury or fatalAccident to myself.

4. I am not suffering from any Chronic or Contagious disease or any medical disability / condition whichprevents me from Swimming

5. All the particulars mentioned in the application form are correct to the best of my knowledge, iffound wrong, my membership may be cancelled.

Signature of Parent / Guardian (Signature of Students)

Name: Name:

Relationship:

Place:

Date:-----------------------------------------------------------------------------------------------------------------------------------------------------

OFFICE USE

Application for availing facility of Swimming Pool in respect of (Name of the

swimmer) as per details above has been accepted and Swimming Pool Registration No. AUSW/Institute/3 digitnumber / 10 (year) has been allotted.

Date:

Authorized Signatory Director, ASPESS

Passport size

photograph


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Annexure II

INDEMINITY BOND

AMITY SWIMMING POOL

I..Registration No. do hereby sign that I fullyunderstand that Amity University and Swimming PoolManagement will not be responsible or liable for

any injury, disability and accident or death that may be caused to me while using the Swimming Pool or

within the area of Amity Swimming Pool Complex.

I am using the Swimming Pool at my own risk and peril and this Indemnity Bond covers the period of one

year from the opening the Swimming Pool of Amity University, Sector 125 Noida.

Signed this..day of ..20.. at Noida.

Signature...

Registration No.

Course....

Institution:.

Resident Address:.....

..

..

Tel:.

Countersigned

Signature of Parents /Guardian:

Name:

Relationship.

Place ............

Date ................


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Annexure III

AMITY SWIMMING POOLRULES AND REGULATIONS

1. Entry is restricted to members only, who have registered with the HoI / Faculty I/C,Swimming Pool and are in possession of valid I-Card of the AUUP and SwimmingPool Membership Card.

2. Each swimmer will enter his/her name and Membership No. and other particularsin the Register maintained at the swimming pool Reception Counter before enteringthe Pool and sign again on completion of swimming.

3. The membership for use of Swimming Pool to any Swimmer can be terminated atany time without assigning any reason.

4. The swimmers shall swim in proper costume. Swimming Cap is compulsory forgirls and boys with long hair.

5. All instructions imparted by the In-charge/Coach/Life Guard shall be strictlyfollowed. Pool Manager is authorized to refuse any person from swimming formisbehaviour and infringement of rules.

6. Swimmers will use the pool at their own risk and peril. The Management willnot be responsible for any injury / loss of life.

7. Diving in the Pool is strictly forbidden. The Management will not be responsiblefor any injuries sustained by members in and around the Swimming Pool.

8. No compensation or claim shall be entertained in case of any mishap or loss of lifeduring the swimming.

9. a) Non Swimmers/Beginners shall not cross the barrier put up for restrictingthem from going into the deeper portion of the swimming pool.b) In case any Non Swimmer violates the above restrictions, he/she will do so athis/her own risk.

c) Wearing of Red Cap is compulsory for all beginners/non swimmers.10. Any one suffering from skin disease/cough and cold is not allowed to swim.11. Students are requested not to spit in/pollute the pool in any way.12. Visitors are not allowed to enter the pool deck in any way.13. All users of swimming facilities shall take a shower bath before entering the pool

and after swimming.Contd2/-


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14. The Management will not be responsible for loss of any valuables left with theattendant or in the lockers of the Swimming Pool. The Management is notresponsible for any losses (mobiles, valuables etc). Please avoid bringing valuablesto the Pool.

15. No Footwear is allowed on the deck of the Swimming Pool upto 3 Metre from pooledge.

16. Photography in the Swimming Pool is STRICTLY prohibited.17. Ornaments of any kind such as chains, rings, glass bangles etc. are not permitted to

be worn while swimming.

18. No eatables shall be brought in the swimming pool premises.19. Smoking in and around the Pool is strictly prohibited.20. Proper decorum is to be mentioned in and outside the Pool and no activity or

behavior, which causes disturbance to other swimmer will be allowed and may leadto termination of membership.

21. No guests are permitted.Signature of Student

Course..:..

Institute:

Contact No.

Date:..

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a68bSwimming Form Students