2018 Swim Lesson Registration
Please fill out ONE FORM PER CHILD!

Reminder: Payment is due at the first class session your child attends in the form of a check made out to "Borough of Deal." Also, please check your e-mail prior to the first class session for a mandatory "Hold Harmless" form that must accompany the payment.

Email address *
Child's First Name *
Your answer
Child's Last Name *
Your answer
Child's Age (as of July 3) *
Your answer
Parent First Name *
Your answer
Parent Last Name *
Your answer
Casino or Conover Locker # *
Your answer
Parent Cell Phone #1 *
Your answer
Parent Cell Phone #2
Your answer
Parent E-mail #1 *
Your answer
Parent E-mail #2
Your answer
Select which session you are registering this child for. Note--we are very flexible if you ever need to swap a morning/evening lesson!
Please estimate this child's level of ability. If your estimate is a bit off, we can easily move your child into the correct class on the first day! *
I understand that I will be e-mailed an additional Hold Harmless form that must be handed in, with payment, at my child's first class session. I understand that payment must be in the form of a check made out to "Borough of Deal." *
A copy of your responses will be emailed to the address you provided.
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