Personalized 1-on-1 (Private) Swim Stroke Video Analysis

SEE ALSO! Frontcrawl Clinic Level 1 for those wanting a semi-private environment to learn how to swim better.

Want to know how YOU can move through the water faster and more efficiently?! See for yourself!

Offering a limited time, one-hour personal session that will cover the following:

This is a one-on-one encounter and not intended as a group clinic. Fill out the online form below and specify which day from 6:00 am onwards and I will confirm pool availability.

Location: JCC pool, westend Ottawa (Carling/Queensway area) or City pool (based on availability)
Dates: Variable, state preferred day and time
Prerequisite skill level: minimum of 400 metres of continuous front crawl. Intended for intermediate to advanced level swimmers. Not for novice or learn to swim skills.
Duration of session : One (1) hour plus digital video and swim report card sent after the session
Register: Visit our web site and click the link at the top
Cost: $130 (13% HST included)

Register me now!


ONLINE REGISTRATION
Please fill out the registration form below. Once we receive it, we will process your credit card.

Swimmer First and Last Name(s):

Birth Date (MM/DD/YYYY)

Your email address

How did you hear about our program?  

Which dates/times are you interested in?
First preference      Second preference

Address:
   City

Postal Code:

Phone Number(s):
Home
  Work   Cell

Mac or Windows user (for video file format)

Payment

I give you authorization to charge my Visa or Mastercard (Amex not accepted) credit card using the information provided below. (For additional security, you may choose to enter the first 8 digits in the spaces below and the last 8 digits with expiry date by phoning 613 518-6564 immediately to finalize the registration.)
Failure to leave valid information will cause your registration request to be delayed and possibly demoted to the waiting list.

(This is a secure SSL web site--your credit card statement will show Anzai! Inc. as the merchant)
No spaces please  Exp (mmyy)
  Security code (3 digit number on back of card)

Detail your swimming background and current skill level. How far do you swim in a typical practice:

What are the objectives that you would like to achieve in this program:

Please list any conditions that may affect physical exercise:

Release and Indemnity
The purpose of this document is to preclude any claim arising out of my participation in the activities of swimottawa.com (Anzai! Inc.).
In consideration of the training, coaching and facilities provided to me by swimottawa.com (Anzai! Inc.):
• I confirm that I am aware that swimming is a sport, which involves risk, including significant cardiovascular demands.
• I confirm that I am physically fit and able to participate in swimming at a Masters level and am not aware of nor have I been advised of any physical limitations to my participation.
• I agree that I will not make any claim for loss, damage, injury or expense, including any claim based on negligence or breach of contract, against swimottawa.com (Anzai! Inc.), its members, executive members, volunteers, trainers, coaches, sponsors, officials or the owners, staff or operators of any recreational facilities used by swimottawa.com (Anzai! Inc.).
• I agree to indemnify and hold harmless swimottawa.com (Anzai! Inc.) and those individuals and organizations set out in the preceding paragraph from any claims for loss, damage, injury or expense associated with my participation in activities and events sponsored or sanctioned by swimottawa.com (Anzai! Inc.).
• I agree this document is binding upon me, my personal representatives, heirs and assigns.

I declare I am 18 years of age or older and I have read and understood the terms of this waiver INCLUDING the no refund, swimmer substitution, or credit arrangements for future sessions.

Please show up on time and ready to go as your one-hour is blocked off and another session may follow.

Anzai! Inc.
service@anzai.com