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Summer Swim Class Registration
Contact us at (631) 493- 7946 or
MySwimSchoolUSA@gmail.com
if you have any questions or issues with the registration form.
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Email
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Your email
How Did You Hear Abou Us?
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Your answer
Parent First Name
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Your answer
Parent Last Name
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Your answer
1st Student First Name
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Your answer
1st Student Last Name
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Your answer
1st Student Date of Birth
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MM
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DD
/
YYYY
2nd Student First Name
Your answer
2nd Sudent Last Name
Your answer
2nd Student Date of Birth
MM
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DD
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YYYY
3rd Student First Name
Your answer
3rd Student Last Name
Your answer
3rd Student Date of Birth
MM
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DD
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YYYY
4th Student First Name
Your answer
4th Student Last Name
Your answer
4th Student Date of Birth
MM
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DD
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YYYY
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