Junior Swim Program Session 5 Registration Request  
This program runs from April 26 - June 19, 2021  No Lessons on Saturday, May 29, Memorial Day Weekend.
Registration will close on May 2, 2021

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
Class Name *
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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