Monroeville Area YMCA  (Monroeville, Alabama)                                                 2020 Summer Swim Lessons Session 2
Registration now - July 13th
Session 2 July 13  - July  23rd,
Monday - Thursday 8:30 AM to 9:15,
8 Lessons
Cost:
YMCA Summer Campers $30
Y Members/ Pool Pass Members $40
Program Participants $50
Private  Lessons Are Available
For More information contact Justin Marshall Program Director
YMCA: 251-575-9622
Cell: 251-238-3940
Email: justin@monroevilleareaymca.org
登入 Google 即可儲存進度。瞭解詳情
電子郵件 *
Swimmer First Name *
Swimmer  Last Name *
Swimmers Birthday *
MM
/
DD
/
YYYY
Swimmer Age *
Gender *
Childs Race/ Ethnicity *
Mailing Address (Address, City, State, Zip) *
Name of Parent / Guardian #1 *
Contact Number of Parent /  Guardian #1 *
Name of Parent / Guardian #2
Contact Number of Parent / Guardian #2
Lesson Selector
Please select Stage Level for Swimmer *
PARTICIPATION WAIVER: I certify that this child is in normal health and capable of participating in the YMCA youth athletics.  I do acknowledge the risk of injury is possible.  I grant permission for my child to play and in doing so I hereby release any and all rights and claims for injuries and damages I may have against the YMCA their Board, Manager, Employees, Officials, Volunteers and Coaches. If medical attention is required, I give my permission for such medical care when either I or the emergency contact person cannot be notified. I understand that the YMCA does not carry accident insurance on league participants. I agree that the YMCA may photo or videotape my child and use it for their promotions. Parents are responsible for providing transportation for their child to and from practice and games. Sign below by typing your name. *
If you are currently a YMCA member and would like us to draft your registration fee please check the box below.
提交
清除表單
請勿利用 Google 表單送出密碼。
Google 並未認可或建立這項內容。 檢舉濫用情形 - 服務條款 - 隱私權政策
Google 表單