For more information contact Jerry Foley

NOTE: Please print out the waiver form - fill it out and bring to the first practice session.


Please provide the information below to sign up for the clinic:

Swimmer's Name:

Swimmer's Age:

Parent or Guardian Name: 

Email Address:

Phone Number:

Have you attended a Swim Clininc at Susquehanna University before?:

Are there any medical concerns that the instructor be aware of (e.g. asthma, high blood pressure)? if yes, please specify:

Do you release Susquehanna of any injury liability?: If yes, please initial:

It is recommended that your primary care physician reviews your health before you begin any exercise program. Please acknowledge that you are in good health by initialing:

Thank you!

*Start times will be adjusted slightly beginning the week of September 12th due to SU practices- TBA