Chambersburg County Club Swimming Lesson Registration
PLEASE do not submit this form more than once (per child). If you need to make changes to your selections after you submit it, please send an email to CCCswimmingprogram@gmail.com with details about your requested changes.  

PLEASE be sure to read the memo that appears after submission. You will automatically receive a summary of your responses. Please hold onto this for future reference. You will also receive a reminder email the weekend before your scheduled lessons. 

We look forward to seeing you at the pool this summer!

PLEASE be sure to enter the correct email address; this is what will be used to send your confirmation email as well as all future communication. Thank you!
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Email *
Child's First Name *
Child's Last Name *
Age of Swimmer *
Note: If a specific level or time is not posted, it is because it has filled.
Which session would you like to attend?
Closed
June 12- June 16
Clear selection
Which session would you like to attend?
Closed
June 19- June 23
Clear selection
Which session would you like to attend?
Closed
June 26- June 30
Clear selection
Which session would you like to attend? (lessons will be held on 7/4)
Closed
July 3 - July 7
Clear selection
Which session would you like to attend?
Closed
July 10 - July 14
Clear selection
Which session would you like to attend?
Closed
July 17 - July 21
Clear selection
Which session would you like to attend?
Level 3 9:30 - 10:15
July 24 - July 28
Clear selection
Which session would you like to attend?
Level 1 10:15 - 11:00
Level 2 9:30 - 10:15
Level 2 10:15 - 11:00
Level 3 9:30 - 10:15
Level 3 10:15 - 11:00
Level 4 9:30 - 10:15
Level 5 9:30 - 10:15
Level 6 8:45 - 9:30
July 31 - August 4
Clear selection
Which session would you like to attend?
Level 1 10:15 - 11:00
Level 2 9:30 - 10:15
Level 2 10:15 - 11:00
Level 3 9:30 - 10:15
Level 3 10:15 - 11:00
Level 4 9:30 - 10:15
Level 5 9:30 - 10:15
Level 6 8:45 - 9:30
August 7 - August 11
Clear selection
Parent/Guardian First Name *
Parent/Guardian Last Name *
Phone Number *
Are you a club member? *
If member, what is your membership number?
How would you like to pay?  *
A copy of your responses will be emailed to the address you provided.
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