The City of San Mateo Parks and Recreation Department is a great

resource for parents looking to enrich their childrens lives. Whatever strikes your
childs fancy, we probably have it. From karate to guitar lessons, we have one of
the most comprehensive and diverse offerings on the Peninsula.

While fun is key, it is not our only focus. Your

child can explore new

things and expand his horizons in creative, safe and non-competitive environments.

Weve made a commitment to growing a water safe community.

Learning how to swim and further developing swimming skills when young not
only keeps your child active and healthy, but also helps to increase their water
safety for life. We offer swimming instruction based on the American Red Cross
(ARC) Learn to Swim Program, which promotes both water safety and swimming
skills in a safe and fun environment.

34

CAMP HOT L I N E 5 22-SUMM o r w w w. e re creg.com

Swim Lesson Levels & Prerequisites

All classes are 30 minutes except where noted.
Aqua-Tot: age 6 mos. 3 yrs.

Level 4 (Seals): age 6 13 yrs.

For infants/toddlers and their parent. The parent works directly

with the child while the instructor provides supervision and
guidance. The goal of this class is to introduce water adjustment
skills in a safe and friendly environment. Some skills are blowing
bubbles, floating, kicking, arm movement, entries and exits. Swim
diaper required and can be purchased at the pool.

Child must be able to demonstrate front and back crawl (15 yds.),
jump in and change direction in deep water unassisted, and tread
water for 30 seconds. Students will increase their endurance in
front and back crawl, build on butterfly and diving, and be
introduced to breaststroke and sidestroke.

Pollywogs: age 3 5 yrs.

Introductory swim course for children at least 24 inches shoulder
height. This course works on water adjustment and fundamentals
of swimming.

Super Pollywogs: age 3 5 yrs.

For children who have completed Pollywogs OR can front float,
and swim 15 feet on stomach with assistance. This level continues
the fundamentals with a more independent focus.

Level 1 (Starfish): age 5 13 yrs.

This is an introductory swim course designed to help students feel
comfortable in the water. Students will learn basic fundamentals
of floating, breath control and movement in the water.

Level 2 (Lobster): age 5 13 yrs.

Child must be able to demonstrate a front and back float. Students
will learn to float without support and recovery as well as explore
alternating arm and leg action on front and back.

Level 3 (Seahorse): age 5 13 yrs.

Child must be able to demonstrate front crawl (15 ft.) and back
crawl (10 ft.) unsupported and be comfortable in deep water.
Students will learn to coordinate front and back crawl. Elements
of butterfly, diving, elementary backstroke, side breathing and
treading water will be introduced.

Level 5 (Shark): age 6 13 yrs.

Child must be able to demonstrate front and back crawl (25 yds.),
breaststroke, butterfly and elementary backstroke (15 yds.), tread
water 1 minute, and swim underwater 3 body lengths. Students
will refine their performance of all strokes and increase distances.
Flip turns are also introduced.

Level 6 (Dolphin): age 6 13 yrs.

Students must be able to demonstrate front and back crawl (50
yds.), butterfly, breaststroke, side stroke and elementary backstroke
(25 yds.), tread water 2 minutes and a shallow dive from side.

The Complete Swimmer: ages 9 15 yrs.

Refine strokes to improve technique, efficiency and power. This
course is designed for swimmers interested in fitness, preparing
for a competitive program or becoming a lifeguard. The instructor
will teach using a variety of equipment and focus on endurance
with a goal of swimming 500yds. Students must have passed
Level 4 or demonstrate equivalent skills.

Youth Private Lessons: age 3 13 yrs.

Private lessons are an excellent way to receive more individualized
attention. Let our knowledgeable instructors customize each
session to meet your needs, from the very basics of water
adjustment to improving strokes for speed and efficiency. Private
lessons are offered on first-come-first-serve basis. For semi-private
lessons, during scheduled private lesson times, please contact
650-522-7443.

www.ci tyof sa nma teo.org/su mmercamps

35

Swim Class Information and Registration Helpful Hints

Our swim lesson program is based on the American Red Cross Learn to Swim model. Lessons are taught by our enthusiastic, safety
minded and caring staff and volunteers. All of our instructors participate in on-going training and skills development.

Registration

Registrations for Swim Lessons featured in this guide are

processed in a unique way. Families may submit swim
lesson registrations by mail, fax, or drop-off, beginning
now through March 11. All registrations received
through March 11 will be combined and processed in
random order.

Class Information

Participants must be the proper age and skill level on the

first day of class. If a student does not meet the minimum
requirements for age or ability, every effort will be made
to transfer the student to a class at his/her level. If space
is not available a transfer to a later session or refund will
be offered.

Beginning March 16th, we will accept walk-in and

internet registration, for eligible programs on a first come
first serve basis.

Children must be a minimum of 5 years old for Level 1-3

and 6 years old for Levels 4+.

Registrations will not be accepted after the 3rd class

meeting.

For the comfort and development of your child, adult

lessons begin at age 13.

Please read the level descriptions carefully and select the

appropriate level for your child based on his/her current
skills.

Withdrawal/Refunds

Class withdrawals will be allowed up to Sunday at

5:00pm before the first day of the class.

Classes may be canceled or consolidated with other

classes, if enrollment does not meet minimums.
Notification will be given within 24 hours of first class.

It is not uncommon for a child to stay in a particular

level several sessions before successful completion.

Classes canceled by the City of San Mateo, will have a

make-up date or credit issued. The City will determine
the course of action for each occurrence

Please make sure to check the location of the class on

your receipt to make sure you are signed up in the
facility you have requested.

Children in diapers must wear a swim diaper during

class. Swim diapers may be purchased at the pool.

Classes missed for vacation, injury, illness or any other

individual reason cannot be made up and are not
eligible for credits or refunds.

No street clothes allowed in the pool at any time.

Appropriate swim attire required.

Recreation Fee Assistance Fee Program

The Recreation Fee Assistance Program is designed to

allow access to our programs for all residents. For those
residents with financial hardships, assistance is available
to help offset the cost of swim lessons. Qualifying
residents are currently eligible for 30% or 60%
depending upon their current income.

A current Enrollment Application accompanied by the

required income documents is needed for program
enrollment. Recreation Fee Assistance Enrollment
Application is available at all Community Centers.
It can be downloaded at www.cityofsanmateo.org.
Applications must be submitted as least 5 business days
before the first day of the swim lesson.

Access Needs

36

CAMP HOT L I N E 5 22-SUMM o r w w w. e re creg.com

One of our key missions is to provide swim lessons for

children with a wide range of abilities. If your child
requires special accommodations, please call
650.522.7460 and a member of our team will return
your call. We will make every effort to accommodate the
needs of each child.

Joinville Swim Center Morning Schedule

MORNING SESSIONS Fee: $61
Session 1: 6/15-6/25

Session 2: 6/29-7/9

Session 3: 7/13-7/23

SATURDAY Fee: $34

Session 4: 7/27-8/6

Session 1: 6/20-7/11

Session 2: 7/18-8/8

Barcode

Time

Barcode

Time

Barcode

Time

Barcode

Time

Barcode

Time

Barcode

Time

65097

11:00 AM

65098

11:00 AM

65099

11:00 AM

65100

11:00 AM

65108

10:00 AM

65109

10:00 AM

Aqua Tots

65102

11:00 AM

65110

11:00 AM

Aqua Tots

65101

12:00 PM

65123

12:00 PM

65366

10:30 AM

65367

11:30 AM

65500

10:30 AM

Aqua Tots

Pollywogs

65325

10:30 AM

65334

10:30 AM

65342

10:30 AM

Pollywogs

65352

10:30 AM

65353

10:30 AM

Pollywogs

65326

11:00 AM

65335

11:00 AM

65344

11:00 AM

65362

11:00 PM

Pollywogs

65327

11:30 AM

65336

11:30 AM

65345

11:30 AM

65354

11:30 AM

Pollywogs

65328

12:00 PM

65337

12:00 PM

65363

12:00 PM

Super Pollywogs

65515

10:00 AM

65516

10:00 AM

65523

10:00 AM

65524

10:00 AM

Super Pollywogs

65521

11:00 AM

65522

11:00 AM

65525

11:00 AM

65527

11:00 AM

65499

11:00 AM

65501

11:00 AM

Super Pollywogs

65514

11:30 AM

65517

11:30 AM

65518

11:30 AM

65519

11:30 AM

65502

11:30 AM

65504

11:30 AM

Level One Starfish

65135

10:00 AM

65138

10:00 AM

65139

10:00 AM

65142

10:00 AM

65124

10:00 AM

65128

10:00 AM

Level One Starfish

65136

10:30 AM

65140

10:30 AM

65143

10:30 AM

65144

10:30 AM

65125

11:00 AM

Level One Starfish

65137

11:30 AM

65141

11:30 AM

65145

11:30 AM

65146

11:30 AM

65126

11:30 AM

65129

11:30 AM

65127

12:00 PM

65130

12:00 PM

65221

10:30 AM

65222

11:00 AM

65285

11:30 AM

Level One Starfish

Level Two Lobster

65195

10:00 AM

65248

10:00 AM

65197

10:00 AM

65201

10:00 AM

Level Two Lobster

65194

10:30 AM

65196

10:30 AM

65198

10:30 AM

65199

10:30 AM

Level Two Lobster

Level Two Lobster

65200

12:00 PM

65203

12:00 PM

65217

12:00 PM

65247

12:00 PM

Level Three Seahorse

65270

10:30 AM

65272

10:30 AM

65274

10:30 AM

65276

10:30 AM

Level Three Seahorse

65271

11:00 AM

65273

11:00 AM

65275

11:00 AM

65290

11:00 AM

Level Three Seahorse

65360

11:30 AM

65219

10:30 AM

65220

11:00 AM

65287

12:00 PM

65286

12:00 PM

Level Four Seals

65302

10:00 AM

65304

10:00 AM

Level Five Shark

65321

10:30 AM

65322

10:30 AM

Level Four Seals

65291

10:00 AM

65292

10:00 AM

65293

10:00 AM

Name:
www.ci tyof sa nma teo.org/su mmercamps

37

Joinville Swim Center Afternoon Schedule

Fees: Afternoon $66 Complete Swimmer $96
Session 1: 6/15-6/25

Session 2: 6/29-7/9

Session 3: 7/13-7/23

Session 4: 7/27-8/6

Session 5: 8/10-8/20

Barcode

Time

Barcode

Time

Barcode

Time

Barcode

Time

Barcode

Time

Aqua Tots

65103

5:00 PM

65104

5:00 PM

65105

5:00 PM

65106

5:00 PM

65107

5:00 PM

Pollywogs

65329

4:30 PM

65338

4:30 PM

65347

4:30 PM

65355

4:30 PM

65365

4:30 PM

Pollywogs

65330

5:00 PM

65339

5:00 PM

65348

5:00 PM

65356

5:00 PM

65364

5:00 PM

Pollywogs

65331

5:30 PM

65343

5:30 PM

65361

5:30 PM

65359

5:30 PM

Pollywogs

65332

6:00 PM

65340

6:00 PM

65350

6:00 PM

65357

6:00 PM

Pollywogs

65333

6:30 PM

65341

6:30 PM

65351

6:30 PM

65358

6:30 PM

Super Pollywogs

65526

4:30 PM

65530

4:30 PM

65535

4:30 PM

65538

4:30 PM

65537

4:30 PM

65539

5:00 PM

Super Pollywogs
Super Pollywogs

65528

5:30 PM

65532

5:30 PM

65534

5:30 PM

65540

5:30 PM

65541

5:30 PM

Super Pollywogs

65520

6:00 PM

65531

6:00 PM

65533

6:00 PM

65536

6:00 PM

65542

6:00 PM

Super Pollywogs

65529

6:30 PM

65543

6:30 PM

65544

6:30 PM

65546

6:30 PM

65147

4:30 PM

65152

4:30 PM

65156

4:30 PM

65162

4:30 PM

Level One Starfish

Level One Starfish

65149

5:00 PM

65154

5:00 PM

65158

5:00 PM

65159

5:00 PM

Level One Starfish

65150

5:30 PM

65153

5:30 PM

65155

5:30 PM

65160

5:30 PM

65163

5:30 PM

Level One Starfish

65148

6:00 PM

65151

6:00 PM

65157

6:00 PM

65161

6:00 PM

65164

6:00 PM

Level Two Lobster

65202

4:30 PM

65209

4:30 PM

65213

4:30 PM

65214

4:30 PM

65241

4:30 PM

65215

5:30 PM

Level Two Lobster

Level Two Lobster

65204

6:00 PM

65207

6:00 PM

65211

6:00 PM

65212

6:00 PM

65216

6:00 PM

Level Two Lobster

65205

6:30 PM

65206

6:30 PM

65210

6:30 PM

65208

6:30 PM

65218

6:30 PM

Level Three Seahorse

65279

4:30 PM

65281

4:30 PM

65289

4:30 PM

65284

4:30 PM

Level Three Seahorse

65277

5:00 PM

65278

5:00 PM

65280

5:00 PM

65288

5:00 PM

65283

5:00 PM

65282

6:30 PM

Level Three Seahorse

Level Four Seals

65294

5:00 PM

65296

5:00 PM

65298

5:00 PM

65300

5:00 PM

Level Four Seals

65295

5:30 PM

65297

5:30 PM

65299

5:30 PM

65301

5:30 PM

65303

5:30 PM

Level Five Shark

65316

6:00 PM

65317

6:00 PM

65318

6:00 PM

65319

6:00 PM

65320

6:00 PM

Level Five Shark

65314

7:00 PM

65315

7:00 PM

65310

7:00 PM

65309

7:00 PM

Level Six Dolphin

65769

5:30 PM

65770

5:30 PM

65771

5:30 PM

65775

5:30 PM

The Complete Swimmer

65554

4:00 PM

65555

4:00 PM

65556

4:00 PM

65557

4:00 PM

65558

4:00 PM

Name:
38

CAMP HOT L I NE 5 22-SUMM o r w w w. e recreg.com

King Community Pool Morning Schedule

MORNING SESSIONS Fee: $61 - 30 min. / $90 - 45 min.
SESSION ONE:
6/15-25
Barcode

Time

SESSION TWO:
6/29-7/9
Barcode

Time

SESSION THREE:
7/13-7/23
Barcode

Time

SESSION FOUR:
7/27-8/6
Barcode

Time

SATURDAY Fee: $34

SESSION ONE:
6/20-7/11

SESSION TWO:
7/18-8/8

Barcode

Time

Barcode

Time

65116

10:00 AM

65118

10:00 AM

Aqua Tots

65115

12:00 PM

65117

12:00 PM

Pollywogs

65371

10:00 AM

65389

10:00 AM

Pollywogs

65372

10:30 AM

65380

11:00 AM

65386

11:00 AM

65385

12:00 PM

65393

12:00 PM

65552

11:00 AM

65553

11:00 AM

65169

10:00 AM

65180

10:00 AM

Level One Starfish

65179

10:30 AM

65181

10:30 AM

Level One Starfish

65174

11:30 AM

Level One Starfish

65193

12:00 PM

Level Two Lobster

65244

10:30 AM

Level Two Lobster

65245

11:00 AM

65243

11:00 AM

65246

11:30 AM

65249

11:30 AM

Aqua Tots
Aqua Tots

Pollywogs

65111

65368

11:30 AM

11:00 AM

65112

65369

11:30 AM

11:00 AM

65113

65375

11:30 AM

11:00 AM

65114

65383

11:30 AM

11:00 AM

Pollywogs
Super Pollywogs

65503

11:00AM

65505

11:00 AM

65506

11:00 AM

65507

11:00 AM

Level One Starfish

Level One Starfish

Level Two Lobster

65131+

65224+

10:15 AM

10:15 AM

65132+

65225+

10:15 AM

10:15 AM

65133+

65227+

10:15 AM

10:15 AM

65134+

65228+

10:15 AM

10:15 AM

Level Two Lobster

Level Three Seahorse
Level Three Seahorse

65265+

10:15 AM

65266+

10:15 AM

65267+

10:15 AM

65268+

10:15 AM

+ 45 minute classes

Name:
www.ci tyof sa nma teo.org/su mmercamps

39

King Community Pool Afternoon Schedule

30 minute lessons Fee: $66
SESSION ONE: 6/15-25

SESSION TWO: 6/29-7/9

SESSION THREE: 7/13-7/23

SESSION FOUR: 7/27-8/6

Barcode

Time

Barcode

Time

Barcode

Time

Barcode

Time

Aqua Tots

65119

6:00 PM

65120

6:00 PM

65121

6:00 PM

65122

6:00 PM

Pollywogs

65373

4:30 PM

65381

4:30 PM

65388

4:30 PM

65390

4:30 PM

Pollywogs

65370

5:00 PM

65376

5:00 PM

65384

5:00 PM

65391

5:00 PM

Pollywogs

65379

5:30 PM

65377

5:30 PM

65382

5:30 PM

65394

5:30 PM

Pollywogs

65374

6:00 PM

65378

6:00 PM

65387

6:00 PM

65392

6:00 PM

Super Pollywogs

65508

4:30 PM

65511

4:30 PM

65545

4:30 PM

65549

4:30 PM

Super Pollywogs

65509

5:30 PM

65512

5:30 PM

65547

5:30 PM

65550

5:30 PM

Super Pollywogs

65510

6:30 PM

65513

6:30 PM

65548

6:30 PM

65551

6:30 PM

Level One Starfish

65170

4:30 PM

65171

4:30 PM

65176

4:30 PM

65183

4:30 PM

Level One Starfish

65166

5:00 PM

65172

5:00 PM

65177

5:00 PM

65184

5:00 PM

Level One Starfish

65167

5:30 PM

65173

5:30 PM

65178

5:30 PM

65185

5:30 PM

Level One Starfish

65165

6:00 PM

65175

6:00 PM

65182

6:00 PM

65186

6:00 PM

Level One Starfish

65168

6:30 PM

65188

6:30 PM

65187

6:30 PM

Level One Starfish

65189

7:00 PM

65190

7:00 PM

65191

7:00 PM

65192

7:00 PM

Level Two Lobster

65223

4:30 PM

65226

4:30 PM

65231

4:30 PM

65237

4:30 PM

Level Two Lobster

65230

5:00 PM

65232

5:00 PM

65235

5:00 PM

65240

5:00 PM

Level Two Lobster

65229

5:30 PM

65233

5:30 PM

65236

5:30 PM

65238

5:30 PM

65234

6:30 PM

Level Two Lobster

Level Two Lobster

65239

7:00 PM

Level Three Seahorse

65251

4:30 PM

65256

4:30 PM

65259

4:30 PM

65263

4:30 PM

Level Three Seahorse

65252

5:00 PM

65254

5:00 PM

65257

5:00 PM

65264

5:00 PM

Level Three Seahorse

65253

6:30 PM

65255

6:30 PM

65258

6:30 PM

65262

6:30 PM

65260

7:00 PM

65261

7:00 PM

65269

7:00 PM

Level Three Seahorse

Level Four Seals

65305

5:00 PM

65306

5:00 PM

65307

5:00 PM

65308

5:00 PM

Level Five Shark

65311

5:30 PM

65313

5:30 PM

65323

5:30 PM

65324

5:30 PM

Level Five Shark

65312

7:00 PM
65772

7:00 PM

65773

7:00 PM

65774

7:00 PM

Level Six Dolphin

Name:
40

CAMP HOT L I NE 5 22-SUMM o r w w w. e re creg.com

Private Swim Lessons

WEEK ONE - 6/15-19
Barcode

Time

WEEK TWO - 6/22-6/26

Barcode

Time

WEEK THREE - 6/29-7/3

Barcode

Time

WEEK FOUR - 7/6-7/10

Barcode

WEEK FIVE - 7/13-7/17

Time

Barcode

Time

Joinville Swim Center Fees: $119

Youth Private

65435

11:30am

65436

11:30am

65437

11:30am

65438

11:30am

65439

11:30am

Youth Private

65443

12:00pm

65445

12:00pm

65447

12:00pm

65449

12:00pm

65451

12:00pm

Youth Private

65444

12:00pm

65446

12:00pm

65448

12:00pm

65450

12:00pm

65452

12:00pm

Youth Private

65459

6:30pm

65461

6:30pm

65463

6:30pm

65465

6:30pm

65467

6:30pm

Youth Private

65460

6:30pm

65462

6:30pm

65464

6:30pm

65466

6:30pm

65468

6:30pm

Youth Private

65479

7:00pm

65481

7:00pm

65483

7:00pm

65485

7:00pm

65487

7:00pm

Youth Private

65480

7:00pm

65482

7:00pm

65484

7:00pm

65486

7:00pm

65488

7:00pm

King Community Pool Fees: $119

Youth Private

65395

11:00am

65396

11:00am

65397

11:00am

65398

11:00am

65419

11:00am

Youth Private

65399

11:30am

65401

11:30am

65403

11:30am

65409

11:30am

65423

11:30am

Youth Private

65400

11:30am

65402

11:30am

65404

11:30am

65410

11:30am

65421

11:30am

Youth Private

65407

6:00pm

65408

6:00pm

65413

6:00pm

65414

6:00pm

65415

6:00pm

Youth Private

65405

6:30pm

65406

6:30pm

65411

6:30pm

65412

6:30pm

65417

6:30pm

WEEK SIX - 7/20-7/24

Barcode

Time

WEEK SEVEN - 7/27-7/31

Barcode

Time

WEEK EIGHT - 8/3-8/7

Barcode

Time

WEEK NINE - 8/10-8/14

Barcode

WEEK TEN - 8/17-8/21

Time

Barcode

Time

Joinville Swim Center Fees: $119

Youth Private

65440

11:30am

65441

11:30am

65442

11:30am

Youth Private

65453

12:00pm

65455

12:00pm

65457

12:00pm

Youth Private

65454

12:00pm

65456

12:00pm

65458

12:00pm

Youth Private

65469

6:30pm

65471

6:30pm

65473

6:30pm

65475

6:30pm

65477

6:30pm

Youth Private

65470

6:30pm

65472

6:30pm

65474

6:30pm

65476

6:30pm

65478

6:30pm

Youth Private

65489

7:00pm

65491

7:00pm

65493

7:00pm

65495

7:00pm

65497

6:30pm

Youth Private

65490

7:00pm

65492

7:00pm

65494

7:00pm

65496

7:00pm

65498

6:30pm

King Community Pool Fees: $119

Youth Private

65420

11:00am

65425

11:00am

65426

11:00am

Youth Private

65422

11:30am

65431

11:30am

65433

11:30am

Youth Private

65424

11:30am

65432

11:30am

65434

11:30am

Youth Private

65416

6:00pm

65427

6:00pm

65428

6:00pm

Youth Private

65418

6:30pm

65429

6:30pm

65430

6:30pm

Name:
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* FREE* Staff Training Lessons *FREE*

Saturday, June 13, 2015

Barcode

Time

Saturday, June 13, 2015

Joinville Swim Center

Barcode

Time

King Swim Center

Aqua Tots

65841

12:00pm

Aqua Tots

65842

12:00pm

Pollywogs

65843

11:00am

Pollywogs

65844

11:00am

Super Pollywogs

65845

11:30am

Super Pollywogs

65846

11:30am

Level One Starfish

65847

11:00am

Level One Starfish

65848

11:00am

Level Two Lobster

65849

11:30am

Level Two Lobster

65850

11:30am

Level Three Seahorse

65851

12:00pm

Level Three Seahorse

65852

12:00pm

Half hour swim lessons to give our staff a chance to practice teaching lessons.

Recreation Swim Schedule 2015

Joinville Swim Center
522-7460

June 15- August 11

M-F 1:00-4:00pm

June 13-September 6
Sa/Su 1:00-5:00

King Swim Center

522-7465

June 15- August 7

M-F 1:00-4:00

June 13-August 9
Sa/Su 1:00-5:00

Holidays

July 4, September 7

1:00-5:00pm

A 15 minute break will occur each day from 2:45-3:00pm at both locations
FEES

Daily Drop In

Pass (Valid 6/13 - 9/7, 2015)*

Youth (0-15yrs)

$3.25

10 Punch Pass $32.50

Adult (16yrs+)

$4.75

10 Punch Pass $47.50

Family (max 6 members)

-----

Season Pass $150

*No Rec Swim at Joinville on Wednesday, 7/29 for City event

*Summer Family Fun Day Saturday, 7/18 Child $4 and Adult $6
Passes not accepted on this day.

Birthday Party at the Pool!

Kids of all ages can celebrate birthdays or special
occasions with a Pool Party. Reserve your spot today
with a $60 non-refundable deposit for up to 10 guests.
Invite up to 10 more guests for an additional $6.00 per
person. Parties are booked on a first come first served
basis, Saturdays and Sundays June 21 August
24, 2015. Price includes picnic area and 45
minutes of lifeguard lead water games and fun.
For more information or reservations,
please contact Kim at 650-522-7569 or
kjohnson@cityofsanmateo.org
Please note children under the age of 6 must be
accompanied by an adult (16yrs +) in the water,
1 adult per child.

Name:
42

CAMP HOT L I NE 5 22-SUMM o r w w w. e recreg.com

Jr. Guards:

Be a Water Safety Swim Aide

Join The Team as a volunteer Jr. Guard with the City
of San Mateo aquatics program. Assist our Swim
Instructors with teaching swimming and water safety
skills. Learn valuable job skills while having fun with
your friends at Joinville or King Pool. Jr. Guards are
required to complete the Swim Instructor Aide Course
(See Summer Brochure for classes) and volunteer for
at least one 2 week session mid June through mid
August. For more information and an application, call
650-522-7443 or email cshavel@cityofsanmateo.org.

City of San Mateo Parks & Recreation Department

Activity Registration Form

fax: 650.522.7411
call: 650.522.7400

1. Account Main Contact Name & Information

Parent/Legal Guardian

City of SM Resident

Non-Resident

(live/own property in City Limits)

(other cities & unincorporated San Mateo)

Mr. Ms. Mrs. ________________________________________________

Date of Birth

Residence

Phone Numbers

first and last name

Complete if new to our programs or your
Address information has changed.

(must be 18 yrs or older)

________________
month / day / year

___________________________________________________________

_________________________________________________

___________________________________________________________

_________________________________________________

___________________________________________________________

_________________________________________________

no. and street

city and zip + 4 code

email address

home (area code + number)

cell (area code + number)

work (area code + number)

2. Emergency Contact

Name

Phone Numbers

___________________________________________________________

_________________________________________________

___________________________________________________________

_________________________________________________

first and last name

relationship

home / cell (area code + number)

work (area code + number)

3. A signature is required by each adult participant on this form.

To the extent allowed by law, I hereby absolve the City of San Mateo, its elected and appointed officials, employees, and agents from and against any and all
claims, damages or liability which may arise as the result of my/our participation in activities I or any member on my family account attends or registers into; and,
in the event that the below named participant is a minor, I hereby give my permission for his or her participation as indicated and in so doing absolve the City
of San Mateo, its employees, agents, independent contractors, and officers from such liability. I am aware that if I have registered for a class involving physical
activity, I have taken care to enroll at a class level appropriate to my/our physical abilities and/or medical conditions. I release use of my/our photos taken during
program participation from all and any claims and demands resulting from their use in program publicity.

Signature ___________________________________________________ Date ____________

self

parent

guardian

Signature ___________________________________________________ Date ____________

self

parent

guardian

second participants signature

4. All participants listed here must live at the same address listed above.
Participant Name, first and last

Course #

Course Title

(use one line for each person or course)

(last 5 digits)

Alternate
Course #

Course
Fee $

Date of Birth
(mm/dd/yy)

Gender

1.

//

MF

2.

//

MF

3.

//

MF

4.

//

MF

TOTAL FEES
Help us help others! Donate to the Fee Assistance Fund.
(please enter amount in the space to the right)

__ __ __ __ __ __ __ __

__ __ __ __ __ __ __ __ ___ /___

credit card payment authorization

mo/yr

___________

MasterCard

fi

billing zip code

___________

3 digit security
code

_____________________________________________________
authorized signature (as shown on credit card)

DONATION
AMOUNT
Less Credit on Account
Total Amount Enclosed
PAYMENT
TYPE

Cash Other ______

Check (payable to City of San Mateo)

Recreation Fee Assistance Program

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