Swim Lessons
Please complete one form per child. If you have multiple children, you must submit separate forms.

This form is for information only. To be officially enrolled in the program, you must also register and pay for the swim lessons at ottawahills.org .

Swimmer's Name (Last Name, First Name) *
Your answer
Swimmer's Age (Minimum 4 years old) *
Your answer
Swimmer's Grade *
Your answer
Parent's Name (Last Name, First Name) *
Your answer
Parent Contact Info - Cell Phone *
Your answer
Parent Contact - Email *
Your answer
Lesson Time Preference *
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