Stones Crossing Swim Lesson Registration 2019
Email address *
Name: *
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Age: *
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Parent/Guardian Name: *
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Address: *
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City, State, Zip Code: *
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Phone Number: *
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Stones Crossing Members? *
Emergency Contact (Name, Phone Number): *
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Does the participant have any medical conditions the instructor should be aware of? *
If yes please explain:
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Preferred Sessions (Check all that apply): *
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Preferred Time Slot (Check all that apply): *
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Swim Lesson Experience: *
Please estimate the swimmers abilities by choosing one of the options below: *
Payment Information: Cost for members $45 ($5 sibling discount) Cost for non-members $55 ($5 sibling discount). *
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Permission Form: Stones Crossing swim club assumes no responsibility for the safety of any users of the pool and pool equipment. Also for any lost, damaged, or stolen property. While on site all rules and regulations must be followed. Non-members must leave after there scheduled lesson time. They can not stay at the pool unless they are a guest of a member of the swim club. Guest fee at that time will be enforced. Participates in the lessons will have access to bathrooms and showers. (By clicking yes you are agreeing to all the rules of the swim club and those listed above) *
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