Online WABC Teacher Training
Workshop Participant Registration
and Kathy McKay
Workshop is now full. We are happy to
put you on a waiting list.
Email Rob and Kathy at
firstname.lastname@example.org to be put on
Any last minute registrations will be
considered if space becomes available.
workshop with Rob and Kathy McKay-October
13, 2011 Clearwater
is $225 USD
Online Credit Card Payment
Registration and Waiver
form Rob and Kathy McKay Workshop
Mastercard or Visa only
2011 WABC Rob and
Kathy McKay Teacher
Training Workshop Registration by
First and Last Name
Participant's Total USD $
Master Card or Visa Card:
type 4 numbers then a -, 4 times for a total of 16 numbers
2 digit month/2 digit
3 digit Security
on back of card
for United States card holders only (required for processing)
zip code used for card statements
By completing this registration form and
filling in date below you agree
to the following waiver and release:
undersigned agrees to defend, pay and save free and harmless
Lifestyle swim school, Inc., the facility owners where lessons are
conducted and their respective agents, employees' actions, judgments
and proceedings of any kind or in favor of anyone whomsoever and
from and against all injury or property damage arising directly or
indirectly out of, from or on account of applicant's presence at or
use of the facilities or participation in any activities or programs
applied for hereby or at any time hereafter.
First and last
Street, city, state, zip
(including area codes)
Tell us about yourself.
Teaching background etc.
If there are questions about your registration you will be
contacted prior to processing.
email@example.com or phone:
Workshop Refund/Cancellation Policy
Registrants unable to attend will receive a refund of paid registration fee,
less a USD $50 processing charge per full workshop
registration...If email or phone notice is
received no later than Wednesday, September 16,
2011. No refunds given after September 16. Substitutions may be made for
participants unable to attend in lieu of
refund/cancellation after September 16.