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Swim Lesson Registration Form
Location:
Greater Lawrence Technical School
57 River Road
Andover, MA
Classes are held on Sunday's for 30 minutes (Program runs 4:00-6:00pm)
Cost per Child $120
Session runs from: 7/12/26 - 8/16/26 (6 Weeks)
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Email
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Your email
Yo Parent's Name
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Your answer
Phone Number:
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Your answer
Payment will be made by:
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Cash: Due 1st day of classes: Amount Due $120
Child's Name
*
Your answer
Child's Age
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Your answer
Level
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1: My child cannot put his/her face in the water
2: My child CAN put his/her face in the water
2 1/2: My child can swim with little or no assistance
3: My child is able to swim in the deep end without any assistance
4: My child can swim 25 yards (1 length) of the pool without stopping
5: My child knows all their strokes (back, breast, freestyle). They are here to learn swim team technique
Other:
Please choose your time slot:
*
4:00
4:30
5:00
5:30
Additional Questions & Concerns:
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2nd Child's Name
Your answer
2nd Child's Age
Your answer
2nd Child's Level
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3rd Child's Name
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3rd Child's Age
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3rd Child's Level
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A copy of your responses will be emailed to the address you provided.
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