Swimming Lesson Session July 10 - July 14
This form is ONLY for Session July 10-14 11:00-11:45 Minnows and Me

Session form for June 12 –22 10:00-10:45 Jesup & 11:00 - 11:45 Readlyn/Dunkerton can be found at
https://docs.google.com/forms/d/1noWmcmH9RNqgi6qFK6kU8VaSBhu7Tu-EkosoOwyb62o/viewform

Session form for July 17-July 27 Fairbank Sessions at 11:00-11:45 & 7:00pm-7:45pm can be found at
https://docs.google.com/forms/d/1u3m0I-X41cxkIslIdkB1h-GUQxUf46lE5gdgyUmz-oI/viewform

Minnows and me
Minnows and Me with a guardian is 5 classes and limited to children 2 through 3 years old. AN ADULT OR ABLE PERSON AT LEAST 14 YEARS OLD WHO WILL ASSIST IN THE WATER MUST ACCOMPANY These students as they require one on one contact to insure a safe learning environment.
Fairbank Aquatic Center Swimming Lesson Registration
Permission
By submitting this form, I give my permission for the named person(s) to take swimming lessons at the Fairbank Aquatic Center (also known as The Fairbank Municipal Swimming Pool). I release the pool personnel, Fairbank City Council, Pool Board and City of Fairbank from any responsibility in the event of an accident due to his/her own negligence, disobedience or irresponsibility, or disregard for pool and/or city rules or policies.
I understand the above statement.
Individual Completing This Form
Your answer
Parent or Guardian Name
Your answer
ADDRESS
Street
Your answer
City
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Phone #
Your answer
E-Mail Address
Your answer
Emergency Contact: Name and Phone Number
Your answer
Student 1
Student 1 First Name
Your answer
Student 1 Last Name
Your answer
Student 1 Age
Your answer
Student 1 Skill Level
Student 2
Student 2 First Name
Your answer
Student 2 Last Name
Your answer
Student 2 Age
Your answer
Student 2 Skill Level
Student 3
Student 3 First Name
Your answer
Student 3 Last Name
Your answer
Student 3 Age
Your answer
Student 3 Skill Level
Student 4
Student 4 First Name
Your answer
Student 4 Last Name
Your answer
Student 4 age
Your answer
Student 4 Skill Level
Payment Information
$15.00 for each student in Water Introduction
Total Amount Due
Your answer
Payment Method
THANK YOU!!!!
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