VSC Private Lessons Registration

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This form MUST be filled out prior to the first lesson.
Once the form is received, you will get an email confirmation that your child is enrolled and we will set up the private lesson day(s)/time(s). ONE REGISTRATION PER CHILD PLEASE.

Email *

Childs Name *

Child's Birthdate and Current Age *

Parent Name *

Address & Cell Number (required) *

Please describe your child's swim experience. Have they had prior lessons? Do they have a fear of water? Please explain below. *an evaluation may be requested by the instructor at the time of the first lesson *

Are you a member of the Voorhees Swim Club? *

Must have a COVID-19 waiver on file, if not a member one will be sent prior to your first lesson. Please check below. *

Option 1

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