Spring Swim Lesson Registration
*This registration form is for child or adult lessons.  If you are an adult signing yourself up for lessons, just enter your information where it asks for the child's information.

*Children under 3 years old must have a parent in the water with them during class.

*Payment is required at the time of registration.  This payment is non-refundable.

*You will be sent a receipt for your payment within 72 hours of registration (Mon-Fri).  If you do not receive that confirmation receipt, it means you have been waitlisted, and you will be contacted if a spot opens up.  You will not be charged the registration fee if you are put on the waitlist.

*If you have more than one child to register, you must do a separate registration for each child.

*Spring Session Dates
Member Registration:  Tuesday, April 9th
Non-Member Registration:  Tuesday, April 16th
Session dates: April 23-June 16
Member Price:  $60
Non-member Price:  $125

Sign in to Google to save your progress. Learn more
Email *
Child's First and Last Name *
Child's Birthdate *
MM
/
DD
/
YYYY
Child's Gender *
Parent's First and Last Name *
Parent Birthdate *
MM
/
DD
/
YYYY
Parent Phone Number *
Mailing Address *
Next
Clear form
Never submit passwords through Google Forms.
This form was created inside of Plattsburgh YMCA. Report Abuse