Vernon Hills Park District
Turtles Swim Team Waiting List
Swimmer Name
*
First Name
Last Name
Date of Birth
*
/
Month
/
Day
Year
Date
Swim School
*
Parent Information
Parent Name
*
First Name
Last Name
Parent Email Address
Parent Cell Number
*
Please enter a valid phone number.
Format: (000) 000-0000.
Submit
Should be Empty: