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WINTER
Registration:
Thornhill - Nov 5th
Woodbridge - Nov 7th
Pickering - Nov 7th
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Pickering – Winter
Winter - Pickering
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Children Info
Child #1 Name
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First
Last
Birthday
*
MM
DD
YYYY
Current Swim Level
*
Select
Never had lessons before
Other (Explained in Special Notes)
Starfish (Parent & Tot)
Duck (Parent & Tot)
Sea Turtle (Parent & Tot)
Sea Turtle (Preschool)
Sea Otter (Preschool)
Salamander (Preschool)
Swim Kids 1
Swim Kids 2
Swim Kids 3
Swim Kids 4
Swim Kids 5
Swim Kids 6
Swim Kids 7
Swim Kids 8
Swim Kids 9
Swim Kids 10
Rookie (Swim Patrol)
Ranger (Swim Patrol)
Star (Swim Patrol)
Bronze Star
Bronze Medallion
Bronze Cross
Stroke Improvement
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Sunday Time
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Child #1 Second Choice
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Wednesday Time
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7:00pm (Bronze 2hrs)
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Saturday Time
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Sunday Time
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Child #1 Third Choice
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Monday Time
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11:00am (30min)
11:30am (30min)
1:00pm (30min)
1:30pm (30min)
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6:30pm (45min)
Wednesday Time
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6:45pm (45min)
7:00pm (Bronze 2hrs)
Thursday Time
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11:00am (30min)
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Saturday Time
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Sunday Time
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11:30am (45min)
12:15pm (45min)
Child #2 Name
*
First
Last
Birthday
*
MM
DD
YYYY
Current Swim Level
*
Select
Never had lessons before
Other (Explained in Special Notes)
Starfish (Parent & Tot)
Duck (Parent & Tot)
Sea Turtle (Parent & Tot)
Sea Turtle (Preschool)
Sea Otter (Preschool)
Salamander (Preschool)
Swim Kids 1
Swim Kids 2
Swim Kids 3
Swim Kids 4
Swim Kids 5
Swim Kids 6
Swim Kids 7
Swim Kids 8
Swim Kids 9
Swim Kids 10
Rookie (Swim Patrol)
Ranger (Swim Patrol)
Star (Swim Patrol)
Bronze Star
Bronze Medallion
Bronze Cross
Stroke Improvement
Adult
Child #2 First Choice
*
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Monday
Wednesday
Thursday
Saturday
Sunday
Monday Time
*
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10:00am (30min)
10:30am (30min)
11:00am (30min)
11:30am (30min)
1:00pm (30min)
1:30pm (30min)
2:00pm (30min)
2:30pm (30min)
4:15pm (45min)
5:00pm (45min)
5:45pm (45min)
6:30pm (45min)
Wednesday Time
*
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4:30pm (45min)
5:15pm (45min)
6:00pm (45min)
6:45pm (45min)
7:00pm (Bronze 2hrs)
Thursday Time
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10:00am (30min)
10:30am (30min)
11:00am (30min)
11:30am (30min)
1:00pm (30min)
1:30pm (30min)
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2:30pm (30min)
4:00pm (45min)
4:45pm (45min)
5:30pm (45min)
6:15pm (45min)
Saturday Time
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10:00am (45min)
10:45am (45min)
11:30am (45min)
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5:15pm (45min)
Sunday Time
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10:00am (45min)
10:45am (45min)
11:30am (45min)
12:15pm (45min)
Child #2 Second Choice
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Monday
Wednesday
Thursday
Saturday
Sunday
Monday Time
*
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10:00am (30min)
10:30am (30min)
11:00am (30min)
11:30am (30min)
1:00pm (30min)
1:30pm (30min)
2:00pm (30min)
2:30pm (30min)
4:15pm (45min)
5:00pm (45min)
5:45pm (45min)
6:30pm (45min)
Wednesday Time
*
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4:30pm (45min)
5:15pm (45min)
6:00pm (45min)
6:45pm (45min)
7:00pm (Bronze 2hrs)
Thursday Time
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10:00am (30min)
10:30am (30min)
11:00am (30min)
11:30am (30min)
1:00pm (30min)
1:30pm (30min)
2:00pm (30min)
2:30pm (30min)
4:00pm (45min)
4:45pm (45min)
5:30pm (45min)
6:15pm (45min)
Saturday Time
*
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10:00am (45min)
10:45am (45min)
11:30am (45min)
12:15pm (45min)
3:00pm (45min)
3:45pm (45min)
4:30pm (45min)
5:15pm (45min)
Sunday Time
*
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10:00am (45min)
10:45am (45min)
11:30am (45min)
12:15pm (45min)
Child #2 Third Choice
Choose a day
Monday
Wednesday
Thursday
Saturday
Sunday
Monday Time
*
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10:00am (30min)
10:30am (30min)
11:00am (30min)
11:30am (30min)
1:00pm (30min)
1:30pm (30min)
2:00pm (30min)
2:30pm (30min)
4:15pm (45min)
5:00pm (45min)
5:45pm (45min)
6:30pm (45min)
Wednesday Time
*
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4:30pm (45min)
5:15pm (45min)
6:00pm (45min)
6:45pm (45min)
7:00pm (Bronze 2hrs)
Thursday Time
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10:00am (30min)
10:30am (30min)
11:00am (30min)
11:30am (30min)
1:00pm (30min)
1:30pm (30min)
2:00pm (30min)
2:30pm (30min)
4:00pm (45min)
4:45pm (45min)
5:30pm (45min)
6:15pm (45min)
Saturday Time
*
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10:00am (45min)
10:45am (45min)
11:30am (45min)
12:15pm (45min)
3:00pm (45min)
3:45pm (45min)
4:30pm (45min)
5:15pm (45min)
Sunday Time
*
Select a time
10:00am (45min)
10:45am (45min)
11:30am (45min)
12:15pm (45min)
Child #3 Name
*
First
Last
Birthday
*
MM
DD
YYYY
Current Swim Level
*
Select
Never had lessons before
Other (Explained in Special Notes)
Starfish (Parent & Tot)
Duck (Parent & Tot)
Sea Turtle (Parent & Tot)
Sea Turtle (Preschool)
Sea Otter (Preschool)
Salamander (Preschool)
Swim Kids 1
Swim Kids 2
Swim Kids 3
Swim Kids 4
Swim Kids 5
Swim Kids 6
Swim Kids 7
Swim Kids 8
Swim Kids 9
Swim Kids 10
Rookie (Swim Patrol)
Ranger (Swim Patrol)
Star (Swim Patrol)
Bronze Star
Bronze Medallion
Bronze Cross
Stroke Improvement
Adult
Child #3 First Choice
*
Choose a day
Monday
Wednesday
Thursday
Saturday
Sunday
Monday Time
*
Select a time
10:00am (30min)
10:30am (30min)
11:00am (30min)
11:30am (30min)
1:00pm (30min)
1:30pm (30min)
2:00pm (30min)
2:30pm (30min)
4:15pm (45min)
5:00pm (45min)
5:45pm (45min)
6:30pm (45min)
Wednesday Time
*
Select a time
4:30pm (45min)
5:15pm (45min)
6:00pm (45min)
6:45pm (45min)
7:00pm (Bronze 2hrs)
Thursday Time
*
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10:00am (30min)
10:30am (30min)
11:00am (30min)
11:30am (30min)
1:00pm (30min)
1:30pm (30min)
2:00pm (30min)
2:30pm (30min)
4:00pm (45min)
4:45pm (45min)
5:30pm (45min)
6:15pm (45min)
Saturday Time
*
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10:00am (45min)
10:45am (45min)
11:30am (45min)
12:15pm (45min)
3:00pm (45min)
3:45pm (45min)
4:30pm (45min)
5:15pm (45min)
Sunday Time
*
Select a time
10:00am (45min)
10:45am (45min)
11:30am (45min)
12:15pm (45min)
Child #3 Second Choice
Choose a day
Monday
Wednesday
Thursday
Saturday
Sunday
Monday Time
*
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10:00am (30min)
10:30am (30min)
11:00am (30min)
11:30am (30min)
1:00pm (30min)
1:30pm (30min)
2:00pm (30min)
2:30pm (30min)
4:15pm (45min)
5:00pm (45min)
5:45pm (45min)
6:30pm (45min)
Wednesday Time
*
Select a time
4:30pm (45min)
5:15pm (45min)
6:00pm (45min)
6:45pm (45min)
7:00pm (Bronze 2hrs)
Thursday Time
*
Select a time
10:00am (30min)
10:30am (30min)
11:00am (30min)
11:30am (30min)
1:00pm (30min)
1:30pm (30min)
2:00pm (30min)
2:30pm (30min)
4:00pm (45min)
4:45pm (45min)
5:30pm (45min)
6:15pm (45min)
Saturday Time
*
Select a time
10:00am (45min)
10:45am (45min)
11:30am (45min)
12:15pm (45min)
3:00pm (45min)
3:45pm (45min)
4:30pm (45min)
5:15pm (45min)
Sunday Time
*
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10:00am (45min)
10:45am (45min)
11:30am (45min)
12:15pm (45min)
Child #3 Third Choice
Choose a day
Monday
Wednesday
Thursday
Saturday
Sunday
Monday Time
*
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10:00am (30min)
10:30am (30min)
11:00am (30min)
11:30am (30min)
1:00pm (30min)
1:30pm (30min)
2:00pm (30min)
2:30pm (30min)
4:15pm (45min)
5:00pm (45min)
5:45pm (45min)
6:30pm (45min)
Wednesday Time
*
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4:30pm (45min)
5:15pm (45min)
6:00pm (45min)
6:45pm (45min)
7:00pm (Bronze 2hrs)
Thursday Time
*
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10:00am (30min)
10:30am (30min)
11:00am (30min)
11:30am (30min)
1:00pm (30min)
1:30pm (30min)
2:00pm (30min)
2:30pm (30min)
4:00pm (45min)
4:45pm (45min)
5:30pm (45min)
6:15pm (45min)
Saturday Time
*
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10:00am (45min)
10:45am (45min)
11:30am (45min)
12:15pm (45min)
3:00pm (45min)
3:45pm (45min)
4:30pm (45min)
5:15pm (45min)
Sunday Time
*
Select a time
10:00am (45min)
10:45am (45min)
11:30am (45min)
12:15pm (45min)
Child #4 Name
*
First
Last
Birthday
*
MM
DD
YYYY
Current Swim Level
*
Select
Never had lessons before
Other (Explained in Special Notes)
Starfish (Parent & Tot)
Duck (Parent & Tot)
Sea Turtle (Parent & Tot)
Sea Turtle (Preschool)
Sea Otter (Preschool)
Salamander (Preschool)
Swim Kids 1
Swim Kids 2
Swim Kids 3
Swim Kids 4
Swim Kids 5
Swim Kids 6
Swim Kids 7
Swim Kids 8
Swim Kids 9
Swim Kids 10
Rookie (Swim Patrol)
Ranger (Swim Patrol)
Star (Swim Patrol)
Bronze Star
Bronze Medallion
Bronze Cross
Stroke Improvement
Adult
Child #4 First Choice
*
Choose a day
Monday
Wednesday
Thursday
Saturday
Sunday
Monday Time
*
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10:00am (30min)
10:30am (30min)
11:00am (30min)
11:30am (30min)
1:00pm (30min)
1:30pm (30min)
2:00pm (30min)
2:30pm (30min)
4:15pm (45min)
5:00pm (45min)
5:45pm (45min)
6:30pm (45min)
Wednesday Time
*
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4:30pm (45min)
5:15pm (45min)
6:00pm (45min)
6:45pm (45min)
7:00pm (Bronze 2hrs)
Thursday Time
*
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10:00am (30min)
10:30am (30min)
11:00am (30min)
11:30am (30min)
1:00pm (30min)
1:30pm (30min)
2:00pm (30min)
2:30pm (30min)
4:00pm (45min)
4:45pm (45min)
5:30pm (45min)
6:15pm (45min)
Saturday Time
*
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10:00am (45min)
10:45am (45min)
11:30am (45min)
12:15pm (45min)
3:00pm (45min)
3:45pm (45min)
4:30pm (45min)
5:15pm (45min)
Sunday Time
*
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10:00am (45min)
10:45am (45min)
11:30am (45min)
12:15pm (45min)
Child #4 Second Choice
Choose a day
Monday
Wednesday
Thursday
Saturday
Sunday
Monday Time
*
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10:00am (30min)
10:30am (30min)
11:00am (30min)
11:30am (30min)
1:00pm (30min)
1:30pm (30min)
2:00pm (30min)
2:30pm (30min)
4:15pm (45min)
5:00pm (45min)
5:45pm (45min)
6:30pm (45min)
Wednesday Time
*
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4:30pm (45min)
5:15pm (45min)
6:00pm (45min)
6:45pm (45min)
7:00pm (Bronze 2hrs)
Thursday Time
*
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10:00am (30min)
10:30am (30min)
11:00am (30min)
11:30am (30min)
1:00pm (30min)
1:30pm (30min)
2:00pm (30min)
2:30pm (30min)
4:00pm (45min)
4:45pm (45min)
5:30pm (45min)
6:15pm (45min)
Saturday Time
*
Select a time
10:00am (45min)
10:45am (45min)
11:30am (45min)
12:15pm (45min)
3:00pm (45min)
3:45pm (45min)
4:30pm (45min)
5:15pm (45min)
Sunday Time
*
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10:00am (45min)
10:45am (45min)
11:30am (45min)
12:15pm (45min)
Child #4 Third Choice
Choose a day
Monday
Wednesday
Thursday
Saturday
Sunday
Monday Time
*
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10:00am (30min)
10:30am (30min)
11:00am (30min)
11:30am (30min)
1:00pm (30min)
1:30pm (30min)
2:00pm (30min)
2:30pm (30min)
4:15pm (45min)
5:00pm (45min)
5:45pm (45min)
6:30pm (45min)
Wednesday Time
*
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4:30pm (45min)
5:15pm (45min)
6:00pm (45min)
6:45pm (45min)
7:00pm (Bronze 2hrs)
Thursday Time
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10:00am (30min)
10:30am (30min)
11:00am (30min)
11:30am (30min)
1:00pm (30min)
1:30pm (30min)
2:00pm (30min)
2:30pm (30min)
4:00pm (45min)
4:45pm (45min)
5:30pm (45min)
6:15pm (45min)
Saturday Time
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10:45am (45min)
11:30am (45min)
12:15pm (45min)
3:00pm (45min)
3:45pm (45min)
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5:15pm (45min)
Sunday Time
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10:45am (45min)
11:30am (45min)
12:15pm (45min)
First Choice
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Sunday
Monday Time
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11:00am (30min)
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6:30pm (45min)
Wednesday Time
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4:30pm (45min)
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6:00pm (45min)
6:45pm (45min)
7:00pm (Bronze 2hrs)
Thursday Time
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10:00am (30min)
10:30am (30min)
11:00am (30min)
11:30am (30min)
1:00pm (30min)
1:30pm (30min)
2:00pm (30min)
2:30pm (30min)
4:00pm (45min)
4:45pm (45min)
5:30pm (45min)
6:15pm (45min)
Saturday Time
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10:45am (45min)
11:30am (45min)
12:15pm (45min)
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Sunday Time
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Second Choice
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Wednesday Time
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4:30pm (45min)
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6:45pm (45min)
7:00pm (Bronze 2hrs)
Thursday Time
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10:00am (30min)
10:30am (30min)
11:00am (30min)
11:30am (30min)
1:00pm (30min)
1:30pm (30min)
2:00pm (30min)
2:30pm (30min)
4:00pm (45min)
4:45pm (45min)
5:30pm (45min)
6:15pm (45min)
Saturday Time
*
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10:00am (45min)
10:45am (45min)
11:30am (45min)
12:15pm (45min)
3:00pm (45min)
3:45pm (45min)
4:30pm (45min)
5:15pm (45min)
Sunday Time
*
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10:00am (45min)
10:45am (45min)
11:30am (45min)
12:15pm (45min)
Third Choice
Choose a day
Monday
Wednesday
Thursday
Saturday
Sunday
Monday Time
*
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10:00am (30min)
10:30am (30min)
11:00am (30min)
11:30am (30min)
1:00pm (30min)
1:30pm (30min)
2:00pm (30min)
2:30pm (30min)
4:15pm (45min)
5:00pm (45min)
5:45pm (45min)
6:30pm (45min)
Wednesday Time
*
Select a time
4:30pm (45min)
5:15pm (45min)
6:00pm (45min)
6:45pm (45min)
7:00pm (Bronze 2hrs)
Thursday Time
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10:00am (30min)
10:30am (30min)
11:00am (30min)
11:30am (30min)
1:00pm (30min)
1:30pm (30min)
2:00pm (30min)
2:30pm (30min)
4:00pm (45min)
4:45pm (45min)
5:30pm (45min)
6:15pm (45min)
Saturday Time
*
Select a time
10:00am (45min)
10:45am (45min)
11:30am (45min)
12:15pm (45min)
3:00pm (45min)
3:45pm (45min)
4:30pm (45min)
5:15pm (45min)
Sunday Time
*
Select a time
10:00am (45min)
10:45am (45min)
11:30am (45min)
12:15pm (45min)
Notes:
Payment Option
Please Select Payment Type
*
Cheque
Credit Card
Please Send The Cheque to this Address
1755 Pickering Parkway
Pickering, Ontario
L1V 6K5
Phone: 905 683 9099
email:
pickering@swim-time.com
Card type
*
Visa
MasterCard
Cardholder Name
*
First
Last
Card Number
*
Expiration Date (mm/yy)
*
Authorization
*
Yes, I authorize Swim Time to charge the cost of the deposit amount to my credit card
Terms and Conditions
*
I have read and agree to the
Policies and Procedures
