Adult Fall Group Swim Lessons   Session #1      September 13 - November 7, 2021                    Tuesday or Thursday Evenings                                                             Registration Request  
This program runs once per week for 7 weeks. Chose Tuesday or Thursday nights and a time slot below.
Registration will close on the Friday September 10th

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.
Sign in to Google to save your progress. Learn more
Email *
Name of Person Registering *
Primary Phone Number *
Email *
Address, City, State, Zip Code *
Name of Student *
Date of Birth *
MM
/
DD
/
YYYY
Student's Age *
Gender *
Are you a member? *
Member Number
Class Time *
Required
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. *
Required
Submit
Clear form
Never submit passwords through Google Forms.
This form was created inside of Wayside Athletic Club. Report Abuse