July 2020 KVAP Registration
If you do not fill out the entire form and submit it your registration will not count. An invoice will be sent via email to finalize registration, you must pay the invoice within 24 hrs to guarantee your spot.
If you have any questions please email dvittoria@southforkschool.org
Student/Participant Name: First, Last *
Parent/Guardian Name and Contact Phone Number (participant if older than 18) *
Student/Participant Gender *
Student/ Participant Birth Date: *
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Student/ Participant Primary Language Spoken *
Student or Participant Ethnicity *
Participant or Parent/Guardian Email Address responsible for billing: *
Billing Address *
Emergency Contact Name and Number Other than Parent/Guardian previously listed above *
Does your child/student have their own life jacket? (Open swim related)
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If you answered no above what does your child weigh? (This will help us determine what size life jacket they would need).
Please Select a lesson time for Level 1 Swim Lessons (ages 3+ Beginner, main aspect getting comfortable in and under water) Price ranges from $25-$45 Only 3 students per class *$25 Grant price is for ages 5years and younger only and is limited
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Select a time for Parent/Child Classes (1 parent or guardian in the water, taking the class with an infant or toddler) Price ranges from $25-$45 Only 5 per class *$25 Grant price is for ages 5years and younger only and is limited. Classes meet Monday-Thursday
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Select a time for Level 2 Swim Classes (Must have passed Level 1 through Red Cross Learn to swim or be able to show needed skills to enter Level 2) $25-$75 Only 3 per class **$25 is the Grant price for ages 5 years or younger
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Select a time for Level 3/4 swim classes (student can float and begin to swim completely unassisted and is working on stroke and technique) $25-$75 Only 4 per class ** $25 is the Grant price for ages 5 years or younger these spots are limited
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Open Swim Membership (This is a pre-paid membership to claim a spot for our open swim hours 12-4pm) Children old enough to swim on their own may be dropped off without an adult. Only 10 spots available
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If wanting to join the Open Swim Membership please select which week(s) you would like to join
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Senior Aquatics Classes (Mon/Wed) 11-11:45 (10 participant maximum in pool) Must pre-pay to reserve your spot. Low-impact workout and stretch class
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Aqua Aerobics Classes Tues/Thurs 11-11:45 (10 participant maximum in pool) Must pre-pay to reserve your spot. Mon/Wed 5-5:45pm starting 7/20
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Not seeing an option? Let us know what you are looking for:
Are you interested in Private lessons?
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Do you or your student have any allergies? (hand sanitizer, cleaning agents? Bees? Grass?) *
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