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Central York Aquatics Swim Clinic Information
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Email
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Your email
Parents Name
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Your answer
Phone number
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Your answer
Swimmer 1 Name/ Age/ Gender
*
Your answer
Type of Clinic Interested In
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Choose
Introduction to Competitive Swimming clinic
Stroke and Start Super Clinic
Previous Swim Team History
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yes
no
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Swimmer 2 Name/ Age/ Gender
Your answer
Previous Swim Team History
yes
no
Type of Clinic Interested In
Choose
Introduction to Competitive Swimming clinic
Stroke and Start Super Clinic
Swimmer 3 Name/ Age/ Gender
Your answer
Previous Swim Team History
yes
no
Type of Clinic Interested In
Choose
Introduction to Competitive Swimming clinic
Stroke and Start Super Clinic
If more than 3 children, please list additional children here
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