The Shack Aquatics Program 2018
Welcome to The Shack Aquatics Summer 2018 on-line registration form. For a full listing of the 2018 aquatics program, visit www.the-shack.org.

REGISTRATION:
PLEASE REGISTER EACH CHILD SEPARATELY. After registering one child, please start the registration process again to enroll any additional children.

PAYMENTS:

Two options:

1. In-person payments can be made by check or cash to:
The Shack Neighborhood House
537 Blue Horizon Drive
Pursglove, WV 26546

If you are paying in person, during our normal operating hours (9:00 a.m. - 5:00 p.m.), you can pay with cash.

2. Mail-in payments
If you are mailing your payment, please send a check to:
The Shack Neighborhood House
PO Box 600
Pursglove, WV 26546

If paying by check, please print the following on the memo line: 2018 Summer Aquatics.

FREE SWIM PASSES:
If you are registered for swimming lessons, swim club, or aqua aerobics, the participant registered in each of these classes receives a free membership that can be used for open/lap swim times.

SWIMMING LESSONS:
Please note that class capacity is 10 children per swimming lesson class,

YOUTH FITNESS SWIM CLUB:
Please note that this club's capacity is 30 children

AQUA AEROBICS:
Please note that this club's capacity is 25 adults

Email address *
Summer time fun!
Caregiver's first name *
Caregiver's last name *
Participant's first name *
Participant's last name *
Participant's date of birth *
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DD
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Emergency Phone Number *
Caregiver's Mailing Address *
Gender *
SWIMMING LESSONS - $50
Beginner (ages 4 - 12)
Intermediate (ages 4 - 12)
Parent/Tot (Parent and child, 0 - 3 years old)
PRIVATE LESSONS
9:00 - 10:00 a.m. - ALL SOLD OUT
10:00 - 11:00 a.m. - ALL SOLD OUT
11:00 a.m. - Noon - ALL SOLD OUT
Friday, July 13 - SOLD OUT
Friday, July 20 - SOLD OUT
Friday, July 27 - SOLD OUT
OTHER PROGRAMS
Swim Team, Aqua Aerobics, Open/Lap Swim
Youth Fitness Swim Club (ages 6 - 13, June 18 - Aug. 3; *No practice on June 22 and July 20)
Aqua Aerobics (Adult, 18 years+, June 18 - Aug. 3, 7:15 - 8:00 p.m., Monday/Friday only) *No classes on June 22 and July 20
Open/Lap Swim(June 18 – August 3) Tuesdays, Wednesdays, Thursdays: 6:30 – 8:00 pm; Fridays: 9:30 am – Noon; Saturdays and Sundays: 10:00 am – Noon
A copy of your responses will be emailed to the address you provided.
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