FREE Swim Lesson

Safety Around Water FREE Swim Assessment and learning session. Coppell YMCA (146 Town Center Blvd., Coppell, TX, 75019)

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Parent's Name*

First NameMiddle NameLast Name
Parent Mobile Phone*
Format: (000) 000-0000.
Alt Phone Number*
Format: (000) 000-0000.
Parents Email *
example@example.com
How many children?*
Child's Name 1*

First NameLast Name
Child 2

First NameLast Name
Child 1 Birth Date*

MonthDayYear
Child 2 Birth Date

MonthDayYear
Pick a time for Saturday, May 24*

11:15 am11:30 am11:45 am12:00 pm12:15 pm12:30 pm12:45 pm
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Safety Around Water FREE Swim Assessment and learning session. Coppell YMCA (146 Town Center Blvd., Coppell, TX, 75019)