Swim Registration Session 2 Level 4 at 9 am

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Please fill out 1 form for each child and each session your are registering for. Monday 6/21 is for Residents only.

Email *

Email address *

Child's first and last name *

Home Address *

Phone number *

Child's Age *

Are you a resident of Hauppauge Schools? Is you child eligible to attend Hauppauge Schools? *

YES

Child's School he/she will attending Fall, 2021 *

By checking the box below I understand that registration is not complete until payment is received on the the first day. Payment to Hauppauge schools must be by check or money order only. Cost: $75 for Residents and $90 for Non Residents. Proof of residency is also required. *

I understand

Required

Submit

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