Youth Swim Lesson Interest Form

Youth Swim Lessons Enrollment Request Form
On what date would you like to enable this form?

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Thank you for your interest. We are not accepting swim lesson enrollment requests at this time.

Enrollment requests for our Winter session will open on Tuesday, December 10th at 12:00AM.
Thank you for your interest!

Your answers will help us with the registration process.
Parent Name*

First NameLast Name
Parent e-mail*
Parent phone number*

Area CodePhone Number
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Today's Date - DO NOT EDIT

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I understand that registration in my desired programs is not ensured and that I will be contacted by the HAC Aquatics Department to confirm swim lesson enrollment and cost.
Additional comments, questions, or goals
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Youth Swim Lessons Enrollment Request Form