HSTC 2019 - Swim Lesson Sign Up Form
How to Register: Only active members who have paid their annual dues may register. Parents may register their child at the pool after Memorial Day. Students will be assigned to classes based on information provided by parents and/or conducting a brief water test.

Number in class: Sign-up is first come first served. Group lessons will be scheduled with three to six students per instructor. Additional students registered will be added to a "Waiting List." Private lessons are also available allowing students to work on whatever level of instruction desired (arrange dates and times directly with Anna).

Ages: Classes are offered for ages four (4) and up. A tot class for ages 4 and under will be offered on Wednesdays. A three-year-old child may take the older level class if they successfully participate in pre-school or some other type of organized learning environment and socialize well into a class on the 1st day.

Fees: Group lessons cost $60.00 per student for eight half-hour lessons, $30.00 for four half-hour lessons. No spots can be held in a class until the fee is paid. Non-Member fee is $80.00 for eight (8) half-hour lessons and $40.00 for four (4) half-hour lessons.

For more information call Swim Lesson Supervisor, Anna MacGirvin, 630-849-6559 or email: acmartinkus@gmail.com

Session 1
June 10th to June 14th
June 17th to June 21st
M, T, Th, & F
M, T, Th, & F
11:00a to 11:30a OR 11:30a to 12:00p
$60.00

Session 2
June 24th to June 28th
July 1st to July 5th
M, T, W,Th, & F
M, T, & F
11:00a to 11:30a OR 11:30a to 12:00p
$60.00

Session 3
July 8th to July 12th
July 15th to July 19th
M, T, Th, & F
M, T, Th & F
11:00a to 11:30a OR 11:30a to 12:00p
$60.00

Session 4
July 22nd to July 26th
July 29th to August 2nd
M, T, Th, & F
M, T, Th, & F
11:00a to 11:30a OR 11:30a to 12:00p
$60.00

Session 5
August 8th to August 12th
M, T, Th, & F
10:00a to 10:30a OR 10:30a to 11:00a
$30.00

**Session 4 & 5 times are subject to change based on Swim Team schedule**

Member Last Name: *
Your answer
Phone Number *
Your answer
Email address *
Your answer
Child's Name *
Your answer
Session Number(s) *
Required
Form of Payment: *
Amount of payment: *
Your answer
Check number (N/A if paying with cash or using an online payment): *
Your answer
Online payment confirmation number (N/A if paying with cash or check) *
Your answer
Submit
Never submit passwords through Google Forms.
This content is neither created nor endorsed by Google. Report Abuse - Terms of Service