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Hillel Day Camp Summer 2019 Swimming Lessons
Please fill out the following form for swimming lesson requests. Swimming lessons are $40 per lesson and given at the times specified below.

Fill out one submission per child. If you have no preference for day or time then please leave those choices blank.

Please note that If you do not specify a preference of lifeguard, time, day of the week or gender, Sima will assign an appropriate instructor at an open time slot.

Child's first and last name: *
Your answer
Child's age: *
Your answer
What grade is your child going into? (Please specify bunk if you know it.) *
Your answer
How many lessons a week would you like? *
Select the time-slot you would prefer.
The following time slots that also work are: (click all that apply)
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