NC State University Recreation Private and Semi-Private Swim Lessons Registration Form
NC State University Recreation Swimming Lessons are exclusively for NC State Students and Carmichael Members Only
Private Swim Lessons are exclusively for NC State Students and Carmichael Members
Participant First and Last Name *
Your answer
Participant Date of Birth *
MM
/
DD
/
YYYY
If Under 17, Please List Guardian *
Place type N/A if over 18
Your answer
Gender of Participant *
Required
NC State University Affiliation *
You must be a Student or Carmichael Member to Register for Swimming Lessons
NC State University ID Number *
Your answer
Phone *
Your answer
Email *
Your answer
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