Swimming Pool - Basketball Permission Form

Dit bestand kan niet worden geopend, omdat JavaScript niet aanstaat in je browser. Zet JavaScript aan en laad het bestand opnieuw.

Viking Pool - 113 Av. Viking, Pointe-Claire, QC H9R 2X9

E-mailadres *

Please note: Only children age 9 and over will be allow to go to the swimming pool

Campers may only attend the swimming pool dates that take place during the weeks they are registered for

Campers Name *

Please select the camper's Swimming Level *

Advance

Intermediate

Beginner

None

Swimming Pool dates *

Please select all that apply

Attending

Not Attending

July 8 - $5.00

July 15 - $5.00

July 22 - $5.00

August 5 - $5.00

August 12 - $5.00

August 19 - $5.00

Parent/Guardian Name *

Parent/Guardian Phone Number *

By Initialling this document electronically, I have fully agree that my child attend to the swimming pool *

Yes

Please enter your Initials *

Please add the date on which you have filled out and initialled this form *

JJJJ

Een kopie van je antwoorden wordt gemaild naar het adres dat je hebt opgegeven.

Verzenden

Formulier wissen

Verzend nooit wachtwoorden via Google Formulieren.

reCAPTCHA

Dit formulier is gemaakt in Youth Stars Foundation. Misbruik rapporteren