Junior Swim Program Session 3 Registration Request
This program runs from January 5 - February 13, 2021
Registration requests will be reviewed and processed in the order in which they are received. You will be contacted to confirm the registration and to make payment for the program.
* Required
Email address
*
Your email
Option 1
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Parent's Name
*
Your answer
Primary Phone Number
*
Your answer
Email
*
Your answer
Address, City, State, Zip Code
*
Your answer
Child's Name
*
Your answer
Date of Birth
*
MM
/
DD
/
YYYY
Child's Age
*
Your answer
Gender
*
Female
Male
Are you a member?
*
Yes
No
Member Number
Your answer
Class Name
*
Choose
Advanced Beginner & Level 2 Tuesdays 5:15-5:45pm 6 classes January 5 - February 9
Advanced Beginner & Level 2 Saturdays 9:15-9:45am 6 classes January 9 - February 13
Intermediate & Level 3 Saturdays 10:00-10:30am 6 classes January 9-February 13
Level 4 - Stroke Improvement Tuesdays 3:45-4:15pm 6 classes January 5 - February 9
Level 4 - Stroke Improvement Saturdays 10:45-11:15am 6 classes January 9 - February 13
Level 5 & 6 - Stroke refinement Tuesdays 4:30-5:00pm 6 classes January 5 - February 9
Level 5 & 6 - Stroke Refinement Saturdays 11:30am-12:00pm 6 classes January 9 - February 13
Class Fee
*
Your answer
By submitting this form, I agree to the terms and conditions of the Membership Agreement and Policies available at:
https://bit.ly/MembAgmt
and
https://bit.ly/RefundWaiverPolicy
.
*
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