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AVONMORE SWIM REGISTRATION 2023
Red Cross Swimming Lessons
Summer 2022
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SWIMMER INFORMATION
Swimmers name
*
Your answer
Birthdate
*
MM
/
DD
/
YYYY
swimmers age
*
Your answer
Medical Considerations
Your answer
PARENT/GUARDIAN INFORMATION
Parent/ guardian name
*
Your answer
Address (including City and Postal Code)
*
Your answer
Phone number
*
Your answer
Alternate Phone Number
Your answer
Email Address
*
Your answer
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