Seariders Summer Swim Clinic Registration Form
Please fill out the registration form below!
Swimmer's Name
*
First Name
Last Name
Swimmer's Date of Birth
*
/
Month
/
Day
Year
2 digit month, 2 digit day, 4 digit year
Date
Parent's Name
*
First Name
Last Name
Parent's E-mail
*
Parent's Phone Number
*
-
Cell Phone
Additional Number
Select a Session
*
Session 1 (Butterfly & Breaststroke) 6/8, 6/10, 6/15, 6/17 $100.00
Session 2 (Backstroke & Freestyle) 7/6, 7/8, 7/13, 7/15 $100.00
Session 3 (Starts/Turns/Finishes & IM Transitions) 7/20, 7/22, 7/27, 7/29 $100.00
Session 4 (Strength Training & Underwaters 8/3, 8/5, 8/10, 8/12 $100.00
Select If Doing Multiple Sessions for $25.00 Discount Per Additional Session -$25.00
Goals For Sessions/Future
Help's Us Understand What You Are Looking To Get Out Of Session
Submit
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