August 24th, 2019 Swim Clinic Registration
Saturday, August 24th 2019
Ala Moana Beach Park
(Park in the parking lot by Magic Island, look for the AccesSurf tents near the bathrooms.)

Volunteers Arrival Time: 8:45am-9am
Volunteer Orientation: 9am-9:15am
Swim Session 1: 9:30am-10:15am
Swim Session 2: 10:45am-11:30am
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Participant's Full Name *
Age *
Email *
Phone Number *
Diagnosis *
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Comfort Level In The Water *
Not Very Comfortable
Very Comfortable
Swim Time *
Previous experience in the water? *
Have you attended an AccesSurf Swim clinic before? *
If you have attended an AccesSurf swim clinic previously what did you work on last time?
What would you like to work on this time? *
Ultimate swimming goals? *
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