Swimming Pool - Basketball Permission Form
Viking Pool - 113 Av. Viking, Pointe-Claire, QC H9R 2X9
Sign in to Google to save your progress. Learn more
Email *
Please note:  Only children age 9 and over will be allow to go to the swimming pool

Campers may only attend the swimming pool dates that take place during the weeks they are registered for
Campers Name *
Please select the camper's Swimming Level *
Swimming Pool dates *
Please select all that apply
Not Attending
July 8 - $5.00
July 15 - $5.00
July 22 - $5.00
August 5 - $5.00
August 12 - $5.00
August 19 - $5.00
Parent/Guardian  Name *
Parent/Guardian  Phone Number *
By Initialling this document electronically, I have fully agree that my child attend to the swimming pool *
Please enter your Initials *
Please add the date on which you have filled out and initialled this form *
A copy of your responses will be emailed to the address you provided.
Clear form
Never submit passwords through Google Forms.
This form was created inside of Youth Stars Foundation. Report Abuse