Swim Lesson: June 8-28 Session IV 11-11:50 am

Lesson: July 17 – July 27 - Session 4 11:00 am

Please use this form to sign up for our Swim Lesson Sessions that run 2 weeks/ 4 days in each week with a rain make up day. Note there are 4 dates to choose from with a 9,10 and 11am class. Each participant must complete a form for each Session they attend.

Student Name*
First Last
Age of Child*
Notes for Instructor
Parent/Guardian/Responsible Party*
First Last
Parent/Guardian/Responsible Party Email*
Parent/Guardian/Responsible Party Phone*
Session Price (Each session must be purchased separately)*
Price:
Total
$0.00
Credit Card

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Supported Credit Cards: American Express, Discover, MasterCard, Visa
Card Number Expiration Date Security Code Cardholder Name
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