Annexure - I

AMITY UNIVERSITY CAMPUS

Plot No-4, Sector-125, Noida (UP)
Passport size
STUDENTS REGISTRATION FORM - SWIMMING POOL photograph
1. Name of the Applicant : …………………………………………………………….
(In Capital Letters only)
2. Enrolment No. : ……………………………………………………………
3. Course : ……………………………………….……..……………
4. Institute : …………………………………………………………….

5. Date of Birth :………………. Age : …………Male Female

6. Father’s Name : …………………………………………………….…………
7. Residential Address:……………………..………………………………………………………
……………………………………………………………………………...
Tel : …………………………. Mob: ……………………………………...
8. Present Address: ……………………………………………………….………………………..
…………………………………………………………………………………
Tel : ...…………………………..Mob: ……………………………………..
9. Name of local Guardian and Contact No. …..…………………………………………………
………………………………………………….......

10. Whether you know the Swimming Yes No

DECLARATION
I hereby declare that:

1. I know / do not know swimming and I will use the Swimming Pool at my own risk.
2. I have read the instructions and hereby undertake to abide by them.
3. I am using the Swimming Pool in Amity Campus Sector 125, Noida at my own risk. I hereby
Indemnify the Amity University and the Swimming Pool Management for any injury or fatal accident
to myself.
4. I am not suffering from any Chronic or Contagious disease or any medical disability / condition
which prevents me from Swimming.
5. All the particulars mentioned in the application form are correct to the best of my knowledge, if
found wrong, my membership may be cancelled.
Signature of Parent / Guardian (Signature of Student)
Name: Name:
Relationship:
Place: (Signature of HoI)
Date: Name
---------------------------------------------------------------------------------------------------------------------------------------
OFFICE USE

Application for availing facility of Swimming Pool in respect of…………………………………………… (Name

of the swimmer) as per details above has been accepted and Swimming Pool Registration No.
AUSW/Institute/3 digit number / 12 (year) has been allotted.
Authorised Signatory
Offg. Head, ASPESS
 Annexure – II

STUDENTS INDEMNITY BOND

AMITY SWIMMING POOL

I…………………………………………..Registration No. ……………………do hereby

sign that
I fully understand that Amity University and Swimming Pool Management will
not be responsible or liable for any injury, disability and accident or death that
may be caused to me while using the Swimming Pool or within the area of Amity
Swimming Pool Complex.

I am using the Swimming Pool at my own risk and peril and this Indemnity Bond
covers the period of one year from the opening the Swimming Pool of Amity
University, Sector 125 Noida.

Signed this………………………..day of …………………..2025….. at Noida.

Signature………………………………

Registration No………………………..

Course..……………………… ………...

Institution:.…………………………….

Residential Address:.……..…………...

…………………………………………..

….…………………………………….

Tel:.……………………………………

Countersigned

Signature of Parents/Guardian: …………………

HOI's/HOD's……………………...
Name: ………………………………………………
Relationship ……………………………………….
Place………………………………………………...
Date ………………………………………………...
 Annexure - III
RULES AND REGULATIONS : AMITY SWIMMING POOL

1. Entry is restricted to members only, who have registered and are in possession of
Valid I-Card of the AUUP and Swimming Pool Membership Card.

2. Each swimmer will enter his/her name and Membership No. and other particulars in
the Register maintained at the swimming pool Reception Counter in own hand
before entering the Pool and sign again on completion of swimming. No one is to
leave the swimming pool area without signing out in the register.

3. The membership for use of Swimming Pool to any Swimmer can be terminated at
any time without assigning any reason.

4. The swimmers shall swim in proper swimming costume (single piece for
girls/ladies). Swimming Cap is compulsory for girls and boys with long hair.

5. All instructions imparted by the In-charge/Coach/Life Guard shall be strictly

followed. Faculty In-charge Swimming Pool (ASPESS)/ Pool Manager are
authorized to refuse any person from swimming for misbehaviour and infringement
of rules.

6. During the timings when the Swimming Pool is in use Amity Clinic will remain open
and one Nursing Attendant will be on duty and the ambulance will be located near
the Swimming Pool.

7. Swimmers will use the pool at their own risk and peril. The Management will
not be responsible for any injury / loss of life.

8. Diving in the Pool is strictly forbidden. The Management will not be responsible
for any injuries sustained by members in and around the Swimming Pool.

9. No compensation or claim shall be entertained in case of any mishap or loss of life

during the swimming.

10. a) Non Swimmers/Beginners shall not cross the barrier put up for restricting them
from going into the deeper portion of the swimming pool.

b) In case any Non Swimmer violates the above restrictions, he/she will do so at
his/her own risk and his/her membership may be cancelled.

c) Wearing of Red Cap is compulsory for all beginners/non swimmers.

Contd…2/-
 2

11. Any one suffering from skin disease/cough and cold is not allowed to swim.

12. Those who are using swimming pool are requested not to spit /pollute the pool in
any

way.

13. Visitors are not allowed to enter the pool deck in any way.

14. All users of swimming facilities shall take a shower bath before entering the pool
and after swimming.

15. The Management will not be responsible for loss of any valuables left with the
attendant or in the lockers of the Swimming Pool. The Management is not
responsible for any losses (mobiles, valuables etc). Please avoid bringing
valuables to the Pool.

16. No Footwear is allowed on the deck of the Swimming Pool upto 3 Metre from pool
edge.

17. Photography in the Swimming Pool is STRICTLY prohibited.

18. Ornaments of any kind such as chains, rings, glass bangles etc. are not permitted
to be worn while swimming.

19. No eatables shall be brought in the swimming pool premises.

20. Proper decorum is to be mentioned in and outside the Pool and no activity or
behaviour, which causes disturbance to other swimmer will be allowed and may
lead to termination of membership.

21. No guests are permitted.

Signature of Member
Date:……………………...
Mobile No:……………………...