19-S5: School Age Level 4

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Upon completing this form, you will be directed to River Valley Athletic Club's online payment site (Wellness Living) to complete your purchase. Payment must be received to hold a place in this class.

PLEASE DO NOT PAY UNTIL THIS FORM IS COMPLETE, these links are for reference only:

RVAC Member Payment: bit.ly/SA-Member

Non-Member Payment: bit.ly/SA-Nonmember

Please note, RVAC memberships will be verified.

Email *

11:15 , Monday - Thursday - June 17 - June 27

Parent/Guardian Name *

Phone Number *

Are you a River Valley Athletic Club member? *

Yes

I understand that by registering for swim lessons, I am agreeing to RVAC's swim policies. *

http://www.rivervalleyathleticclub.com/swim-rules

I accept.

Required

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