Take The Plunge - 2019 Information Signup
Thank you for your interest in Take The Plunge, a children's lap swim program offered by Richmond Swims with a grant from the Make a Splash foundation. This session is only for families who can show proof of low income.
To register your child, please fill out the following form and we will contact you to confirm your registration.
Parent's First Name
Parent's Last Name
Home Street Address
Phone Number (w/area code)
Child's First Name
Child's Last Name
Does your child qualify for free or reduced lunch at school?
Which of the following applies to the child's family (please bring proof of eligibility to first session):
Section 8 Housing
Family income at or below state poverty level
How did you find out about Take the Plunge?
Preferred session time
Nov 4-22 - M/W/F 4:45-5:15
Nov 4-22 - M/W/F 5:30 - 6:00
Nov 5 -21 -Tu/Th 4:45-5:30 (must be at least 8 years old)
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