Swim For All Participant Information Form

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Swim For All Participant Information Form

Parent's name and email

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* Indicates required question

Email *

Your email

Age and Name of participant *

Your answer

What is your goal for your child or yourself? *

Your answer

What prior swim experience does the participant have? *

Your answer

Parent's phone number or participant's phone number if over 18
*

Your answer

Any additional information Coach Amy needs to know about the participant (fear, anxieties, likes, dislikes,etc)?

Your answer

Send me a copy of my responses.

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