Wayside Waves Swim Team Summer 2021         June 21 - August 14    Registration Request  
This program runs from June 21 - August 14, 202.
Registrations will close on Friday June 25, 2021 for this session.

Registration requests will be reviewed and processed in the order in which they are received.   You will be contacted to confirm the registration and to make payment for the program.
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Email *
Parent's Name *
Primary Phone Number *
Email *
Address, City, State, Zip Code *
Child's Name *
Date of Birth *
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Child's Age *
Gender *
Are you a member? *
Member Number
Practice Time (Must choose age appropriate) *
Required
Meets you will participate in. (Must choose at least 2)
Class Fee *
By submitting this form, I agree to the terms and conditions of the Membership Agreement and Policies available at: https://bit.ly/MembAgmt and https://bit.ly/RefundWaiverPolicy. *
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