Padonia Park Club Swim Lessons
Swim Lesson Registration For Summer 2019
Participant's Member Number
Parent/Guardian's Name and Best Contact Number
Have They Taken Lessons With Padonia Park Club in the Past?
Taken Lessons Elsewhere
Please Select Which Type of Class You Wish to Enroll In
Group Lessons- See Next Question for Availability
Private Lessons- Please Skip Next Question
Semi-Private Lessons (you must have your own partner(s) )- Please Skip Next Question
Parent and Child Aquatics Group Class Interest List- Please Skip Next Question and Skill Assessment
Please Select Which Week(s) You Wish to Enroll. * Payment is Required to Hold Spots*
Week 1 (6/17-6/21 ): 11:15 AM- 12:00 PM $60
Week 2 (6/24-6/28): 11:15 AM- 12:00 PM $60
Week 2 (6/24-6/28): 6:15 PM- 7:00 PM $60
Week 3 (7/1-7/5 *NO LESSONS 7/4* ) 11:15 AM- 12:00 PM $50
Week 4 (7/8-7/12 ) 11:15 AM- 12:00 PM $60
Week 4 (7/8-7/12 ) 6:15 PM- 7:00 PM $60
Week 5 (7/15-7/19 ) 11:15 AM- 12:00 PM $60
Week 5 (7/15-7/19 ) 6:15 PM- 7:00 PM $60
Week 6 (7/22-7/26) 11:15 AM- 12:00 PM $60
Week 6 (7/22-7/26) 6:15 PM- 7:00 PM $60
Week 7 (7/29- 8/2) 11:15 AM- 12:00 PM $60
Week 7 (7/29-8/2) 6:15 PM- 7:00 PM $60
Week 8 (8/4-8/9) 11:15 AM- 12:00 PM $60
By Submitting this Form I Understand:
My membership MUST be active for the duration of time that my lesson occurs. For example- if your membership is only for weekends and weekdays after 4, you're not eligible for morning lessons unless you pay the guest fee for that day)
Registration closes for each week on the Friday before at 5PM
IF the supervisor allows for a late registration- I am subject for a late fee charge of 7$ per child enrolled for that week.
Any Questions, Comments, or Concerns You Would Like the Supervisor to Know?
Skill Assessment- *For New Participants Only*
Returning Participants Do Not Need To Fill Out Below. Please Scroll to the Bottom of the Form and Hit Submit
Can They Go Underwater, Completely Submerging Their Head and Without Holding Their Nose?
Can They Perform a Back Float? Child must float on the surface of the water without assistance getting into and maintaining the float with arms out and legs apart.
Can They Swim Front Crawl (Free Style)?
Basic Front Crawl- Incorrect recovery/rotary breathing/kicking
Structured Front Crawl- Correct arms, rotary breathing
Can They Swim Back Crawl (Backstroke)?
Can They Swim Breast Stroke?
Can They Swim Butterfly?
Can They Swim Sidestroke?
Please submit this form and return to
to complete step two of registration.
Never submit passwords through Google Forms.
This content is neither created nor endorsed by Google.
Terms of Service