2026 Oil City YMCA Swim Lesson Registration Form

	A	B	C	D	E	G	I
1	2026 Oil City YMCA Swim Lesson Registration Form
2	Classes run monthly and all swimmers must register by the beginning of each month at the Member Service Desk. Swim Instructors can help recommend a class based on the swimmers skill level.
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6	Participants Name
7	Address
8	City			State		Zip
9	Phone			Birthdate		E-mail
10	Class		Day	Time	Family Member Price:	Youth Member Price	Non-Member Price
11	Beginner : Assisted swimmers- cannot swim by themselves
12			Tue/Thur	535pm	$20	$30	$65
13			Sat	900am	$15	$20	$45
14	Advanced Beginner : Swims on back and front unassisted in shallow water
15			Tue/Thur	610pm	$20	$30	$65
16	Me & My Shadow: Infant & Parent Swim Class
17			Mondays	1:00 PM	$10	$15	$30
18	Next Level: Swims unassisted in deep water with face in the water
19			Tue/Thur	645pm	$20	$30	$65
20			Sat	935am	$15	$20	$45
21	Private Lessons: by appointment. Includes 4 30-minute lessons
22			Youth		$70	$70	$100
23		Shared Youth			$100	$100	$120
24			Adult		$100 for all members	NA	$120
25	PLEASE READ: Media Release- circle Yes or No and Sign Below: Do you give the Oil City YMCA permission to use, without limitation or obligation, photographs, film footage or tape recordings that may include you or your family member's image(s) or voice(s) for purpose of promoting or interpreting YMCA programs? YES or NO Parents Signature_____________________________________
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