KW - Request a Holiday Swim Pass

Request a Holiday Swim Pass
Do you want your child to train with KW temporarily during a holiday?

Please complete this form, and either a KW Coach or Club Representative will respond to you.
Requested Date(s) to Swim With KW:*
Parent/Guardian Name*

First NameLast Name
Parent/Guardian Email:*
Parent/Guardian Phone:*
Please enter a valid phone number.
We will use the above information as your Emergency Contact.
Swimmer Information:*
Enter any important medical information we should know regarding your swimmer(s):
Enter any questions or comments:
Should be Empty: