2022 Aquatics Workout Classes
If you do not fill out the entire form and submit it your registration will not count. An invoice will be sent via email to finalize registration, you must pay the invoice within 24 hrs to guarantee your spot.
If you have any questions please email dvittoria@southforkschool.org
Sign in to Google to save your progress. Learn more
Email *
Participant Name: First, Last *
Parent/Guardian Name and Contact Phone Number (participant if older than 18) *
Student/Participant Gender *
Student/ Participant Birth Date: *
MM
/
DD
/
YYYY
Student/ Participant Primary Language Spoken *
Student or Participant Ethnicity *
Physical Address of Student/Participant: *
Do you or your student have any allergies? (hand sanitizer, cleaning agents? Bees? Grass?) *
Participant or Parent/Guardian Email Address responsible for billing: *
Billing Address *
Emergency Contact Name and Number Other than Parent/Guardian previously listed above *
Lap Swim
July 14-28
Tuesdays & Thursdays
7:45-8:45AM
Lap Swim
Clear selection
Indicate which dates/ how many days if Day rate or 1 week selected above:
Aqua Fit
Mondays & Wednesdays AM 11:15-11:45

Thursdays 5-5:30PM (June 22- July 27)
Aqua Fit
Clear selection
Indicate which dates if  1 week or day selected above:
Aqua Aerobics
Tuesdays & Thursdays 11:15-12:00
Wednesdays 5:00-5:45 (June 22, 29, July 6, 20, 27)
Aqua Aerobics
Clear selection
Indicate which dates if 1 week or 1 class selected above:
Senior Aquatics
Mondays & Wednesdays 11:50-12:35
Senior Aquatics
Clear selection
Indicate which dates if 1 day selected above:
Unlimited Class pass
Good for the whole summer of the program and valid for all group workout classes: Aqua fit, Aqua Aerobics, and Senior Aquatics
Unlimited Pass
Clear selection
Classes are non-refundable and do not transfer to other people or dates other than in this year's summer program dates June-July 2022 *
MM
/
DD
/
YYYY
Submit
Clear form
Never submit passwords through Google Forms.
reCAPTCHA
This form was created inside of South Fork Union School District. Report Abuse