2021 Patty Blackwell's Swim Class

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Thank you for choosing Patty Blackwell's Swim Class! Please complete the form below to sign up.

Email *

Email Address: *

Parent's cell phone number: *

Are you a first time student? *

Yes

Student Name(s): *

Student Age(s): *

Class Information

Which class would you like to sign up for? (Please note: if you are signing multiple children up for separate classes, please complete TWO forms.) *

BEGINNER: 7/12-7/16: 12PM

BEGINNER: 7/12-7/16: 5PM

BEGINNER: 7/19-7/23: 12PM

BEGINNER: 7/19-7/23: 5PM

BEGINNER: 7/26-7/30: 12PM

BEGINNER: 7/26-7/30: 5PM

INTERMEDIATE: 7/12-7/16: 6PM

INFANT CLASS: Date TBD

BEGINNER: 8/2: 5PM

BEGINNER: 8/9: 5PM

By checking these boxes, you acknowledge the following: *

I accept that any additional children who are NOT signed up for the class CAN NOT be in the pool at the time of the class.

I accept that I understand that I can only pay in CASH, unless previously discussed with Miss Patty.

I accept that in the event of sickness or missing a class, all makeups must be scheduled in advance with Miss Patty.

I accept that if my child is not potty trained, he or she will wear a swim diaper.

I accept that classes are rain or shine, and weather will NOT permit a refund or reschedule if class is not wholly cancelled.

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Send me a copy of my responses.

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