2021 Registration Form- Beacon Hill Pool
Please complete the information below and submit your payment to complete your registration for summer 2021. See you Poolside!
Family Name *
Membership Package **Note membership will not be complete until payment is received** *
Covid-19 donation (optional)
Clear selection
Street Address *
City *
Postal Code *
Primary Phone # *
Secondary Phone #
Email Address (strongly recommended as primary communication method)
Emergency Contact Full Name *
Emergency Contact Phone Number *
New or Existing Member ? *
PICTURE -Please email a family photo or individual photos to beaconhillpool@gmail.com. INCLUDE: Membership Family Name, and name(s) of individual(s) in the file name. *
Bronze Medallion and Bronze Cross Lifesaving Courses
**Please complete the separate Online Course Registration form for each participant**
Course dates and times: 5pm-7:30pm, Tuesdays, June 29 to August 24
Must be 13yrs.old or hold Bronze Star certification. See Bronze registration form for all prerequisites.
Additional fees apply.
Activities and lessons
In addition to swimming lessons, the following lessons and programs are available, and NO PREREGISTRATION IS REQUIRED:

*Mom’s and tots, Water polo, Synchro and Diving lessons, and Waterpolo, Synchro, Diving and Swim team.
All lessons are held during morning lessons for 2 week sessions, space permitting. They are open to anyone who wants to attend and who is able to swim in the deep end by themselves. Please see lifeguards a few days prior to the beginning of the lesson session for availability.

* ADULTS can attend aqua-fit held Monday and Fridays 5-6pm. Space permitting we may also offer it during morning lessons (check the lesson board for time). Stroke improvement/master conditioning workouts (Tuesday /Thursday 5-6pm) is also available.
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