Seariders Spring/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
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) $150.00
Session 2 (Breaststroke & Freestyle) $150.00
Session 3 (Starts/Turns/ Finishes & IM Transitions) $75.00
Session 4 (Strength Training & Underwaters $150.00
Select If Doing Multiple Sessions for $25.00 Discount Per Additional Session
Goals For Sessions/Future
Help's Us Understand What You Are Looking To Get Out Of Session
Submit
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