Families wishing to drop out of their enrollments must submit a cancellation request form before the end of the month. A confirmation email will be sent to families within 48 hours; please contact the office if you do not receive one.
Swimmer's Name
*
First Name
Last Name
Parents's Full Name (if applicable)
First Name
Last Name
Email
*
example@example.com
Phone Number
*
Please enter a valid phone number.
Format: (000) 000-0000.
Last Day Swimmer will be attending
*
-
Month
-
Day
Year
Date
Location
*
Please Select
BX- 25 Bruckner Blvd.
NY- 524 W 59th St.
NY- 14-32 W 118th. St.
Day(s) Dropping
*
Please Select
Monday
Tuesday
Wednesday
Thursday
Friday
Saturday
Sunday
Multiple Days
Reason for leaving Splash Fit Swim Club
*
When will you be returning?
Please Select
Winter
Spring
Summer
Fall
N/A
DATE
*
/
Month
/
Day
Year
Submit
Should be Empty: