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Hippo Swim Club Registration Form
Hippo Swim Club 



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Email *
Swimmer's Last Name *
Swimmer's First Name *
Swimmer's Age *
Swimmer's Gender *
Email *
Phone Number *
Does the swimmer have any special needs? *
Was the swimmer enrolled at Hippo in 2023? *
Does the swimmer have an instrucor preference (gender)? *
How many classes per week will the swimmer take? *
Day/s of the week the swimmer would like to attend (Up to 7 days a week) *
Required
Would the swimmer like a 30 min class or 1 hour class? *
What time would the swimmer like to take the class? (M-F 3 PM - 7:30 PM) (Sat/Sun 9:30 AM - 6:30 PM) *
Required
How did you hear about us?
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