Swim Lessons
Are for children ages 3-8 Classes are first come first serve This form only reserves a spot for your child Group lessons: Pay at the beginning of the week $75/child One form per CHILD please Makeup Classes will be held Saturday morning
Swimmers name
*
First Name
Last Name
Date of birth
*
-
Month
-
Day
Year
Date
Guardians name
*
First Name
Last Name
Guardians Mobile Phone Number
*
Please enter a valid phone number.
Guardians Email
*
example@example.com
Emergency Contact
*
First Name
Last Name
Relationship to swimmer
*
Phone Number of emergency contact
*
Please enter a valid phone number.
First pick of swim lessons
*
June 27- July 1, 6:30PM-7:00PM
June 27- July 1, 7:00PM-7:30PM
July 4-July7, 12:00 PM-12:30PM
July 4- July 7, 6:30PM- 7:00PM
July 4- July 7, 7:00PM-7:30PM
Private lessons
Second pick
*
June 27- July 1, 6:30PM-7:00PM
June 27- July 1, 7:00PM-7:30PM
July 4-July7, 12:00 PM-12:30PM
July 4- July 7, 6:30PM- 7:00PM
July 4- July 7, 7:00PM-7:30PM
Private lessons
Third choice
*
June 27- July 1, 6:30PM-7:00PM
June 27- July 1, 7:00PM-7:30PM
July 4-July7, 12:00 PM-12:30PM
July 4- July 7, 6:30PM- 7:00PM
July 4- July 7, 7:00PM-7:30PM
Privates
Submit
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