FREE Swim Lesson

Safety Around Water FREE Swim Assessment and learning session. Richardson Family (821 Custer Rd., Richardson, TX, 75080)

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Parent's Name*

First NameMiddle NameLast Name
Parent Mobile Phone*
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Alt Phone Number*
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Parents Email *
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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
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. Richardson Family (821 Custer Rd., Richardson, TX, 75080)