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SWIMMING LESSONS
Please submit a separate form for each child.
Lessons are $40 per child (cash or check due on the first day of lessons)
Monday-Thursday June 28th - July 1st
Friday July 2nd will be used as a makeup day
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* Indicates required question
Child's Name
*
Your answer
Child's age and appropriate lesson
8:30am - 7 years old and up
9:30am - 3-6 years old
10:30am - 2 years and under-will need to accompanied in the water with an adult
Clear selection
Has your child at swimming lessons before? Either here or at another pool?
Yes
No
Clear selection
Does your child have a fear of water?
Yes
No
Clear selection
Please share any special needs or information that would be beneficial for us to know about the child.
Your answer
Parents name and phone number
Your answer
Emergency name and phone number (different from the one listed above
Your answer
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