Ripon Aquatics Swim Lessons Registration

Ripon Aquatics (California)- Swimming Lessons

Please fill out a 1 form per child per session
Email Address*
Parent(s) Name(s)*
Contact Number*
Do you receive Text at this number? Only used for notifications, ie inclement weather*

YesNo
Swimmer's Name (please put first AND last name)*
Swimmer's Gender*

MaleFemale
Swimmer's Birthday*
Age:*
Swimming experience:*

None (My Child has no swimming or water experience)**MUST SIGN UP FOR SEMI PRIVATE LESSONS, no small group allowed for new swimmers**Back yard pool (My Child can play comfortable in our backyard)Swim lessons (My child has had swim lessons before)Swim Team (My child has been on a swim team and competed)
Please answer to the best of your knowledge: (Check all those that apply)*

My child can put face underwaterMy child can let go of walls and float comfortably without any assistantsMy child can jump in the water from side of poolMy child can front crawl in water.NONE my child as no swimming or water experience **MUST SIGN UP FOR SEMI PRIVATE LESSONS, no small group allowed for new swimmers**
Please Select-*

If you are not forthright about the level of experience or age of your child when submitting your form or when asked over phone we will move your child into a different group (based on their abilities) and/or time with no other option(s). We will not refund your monies if the new time or session does not work with your schedule.
First time Ripon Aquatics swim lesson participant:*

New to Ripon Aquatics swim lessons participant must sign up for the semi-private class before they can move to group lessons.
Age Requirement:*

Anyone under the age of 3 must be in the Parent-N-Tot class.
Lesson Cost:*

Small Group $130 per Session (8 Lessons) **returning lessons ONLY!**Semi-Private $165 per sessions (8 Lessons)Parent & Tot $120 per session (8 Lessons)Private Lesson $400 session ( 8 Lesson)Session 4 will be 1/2 price with the exception of Private Lessons)( 4 lessons)
Sessions Available 1st Choice :*

Session 1 (June 5th- 15th) morning times only parent tot classes available// afternoon times semi private classes 6 yrs and up only left//Session 2 (June 19th-29th) morning times only parent tot and semi private classes// afternoon classes only parent tot and small group experienced swimmers 7 yrs and up//Session 3 (July 10th-13th, July 17-20th) 8 LessonsSession 4-(July 24th-27th) 4 lessons
Sessions Available 2nd Choice :*

Session 3 (July 10th-13th, July 17-20th) 8 LessonsSession 4-(July 24th-27th) 4 lessons
Session times 1st choice:*

11:30-12:10pm12:15-12:55pm4:15-4:55pm5:00-5:40pm5:45-6:25pm Session 3 is FULL for this time slot!!!
Session times 2nd choice:*

12:15-12:55pm4:15-4:55pm5:00-5:40pm5:45-6:25pm
Please select:*

I understand that sessions will fill and by selecting my choices this does not guarantee a spot for my child.
Special requests:
Please pay by PayPal or Credit Card. If you cannot pay by PayPal/CC please call the number below. (We will only except cashiers check or money order. NO CASH)

All swimmers must pre-register.

For further information, please call the Ervin Zador Aquatic Center at (209) 221-5209 or go online to

www.RiponAquatics.com and click “Swim Lessons” under Programs menu.

Confirmation will be made via phone by Friday before the classes are due to start. Please be patient, we promise to get back to you!

If you cancel your session; If you are unable to proceed with your session as you have selected after confirming via phone or text and /or the day of your first session, we will not refund you your monies.
*

If you cancel your session; If you are unable to proceed with your session as you have selected after confirming via phone or text and /or the day of your first session, we will not refund you your monies.
How did you find us?*

SignFlyerGoogle/Other search engineFacebookFriendOther
If you were referred by a friend please let us know who, so we can thank them!
Thank You!

**** Session 4 only parent tots & small groups available, please pay correct price below****
Please Select which class you are registering in box below*
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Ripon Aquatics Swim Lessons$130.00

Service Fee$5.00

Total $0.00
Email
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Ripon Aquatics (California)- Swimming Lessons

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