2023 Fall/Winter Lesson Registration
Thank you for your interest in swim lessons at the Brigantine Aquatic Center! 

Completion of this form is your registration. 

Payment can be made the first day of class via check/cash or card.  
Please fill out one form per swimmer!

Please contact Sari at sariswims@gmail.com with questions, thanks :)


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Guardian's Name (First and Last) *
Guardian's Email Address *
Guardian's Cell Number (XXX) XXX-XXXX *
Student's Name (First "Nickname" Last)
 *
Student's Age *
Is your child fearful of the water? *
Please select from the following session dates *
Please select from the following lesson dates and times according to your student's level. For your reference:

Baby and Me (24 months and under)
Tadpole (3-5 Years Old)
Dolphin (6-13 Years Old)

If you have any questions about your student's level please reach out to Sari at sariswims@gmail.com.

Baby and Me
Clear selection
Tadpole
Clear selection
Dolphin
Clear selection
Submit
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