Register for National Learn To Swim Week 2020
First Name (Learner) *
Last Name (Learner) *
First Name (Parent/Guardian if Learner is under 18) *
Last Name (Parent/Guardian if Learner is under 18) *
Age of Learner *
MUST be 6 years or older. Type "adult" if over the age of 18
Contact Number 1 *
Contact Number 2
Email Address
Beach Location *
Please choose your preferred location for the classes
Time *
Please choose your preferred class time
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