JavaScript isn't enabled in your browser, so this file can't be opened. Enable and reload.
Sellersburg Pool 2024 Swim Lesson Registration
Fill out the information below to register your child for swim lessons for Summer 2024.
Please fill out a separate form for each child being registered.
* Indicates required question
Email
*
Record my email address with my response
What session will your child/children attend?
*
June 3-14
June 17-28
July 8-19
Required
Parent/Guardian Name
*
Your answer
Phone Number
*
Your answer
Address
*
Your answer
Choose the type of lessons you want for your child.
*
Private
Group
If choosing GROUP lessons, choose a time preference.
*
10:30 am- 11:00 am
11:15 am-11:45 am
If choosing PRIVATE lessons, choose a time preference.
Morning
Afternoon
Evening
Clear selection
Name of child you are registering.
*
Your answer
Age of child you are registering
*
Your answer
I understand that I will have to pay upon arrival at my child's first lesson
*
Yes
Required
Submit
Clear form
Never submit passwords through Google Forms.
This content is neither created nor endorsed by Google.
Report Abuse
-
Terms of Service
-
Privacy Policy
Forms