2023 Aquatics Workout Classes
If you do not fill out the entire form and submit it your registration will not count. An invoice will be sent via email to finalize registration, you must pay the invoice within 24 hrs to guarantee your spot.
If you have any questions please email dvittoria@southforkschool.org
Sign in to Google to save your progress. Learn more
Email *
Participant Name: First, Last *
Parent/Guardian Name and Contact Phone Number (participant if older than 18) *
Student/Participant Gender *
Student/ Participant Birth Date: *
MM
/
DD
/
YYYY
Student/ Participant Primary Language Spoken *
Student or Participant Ethnicity *
Physical Address of Student/Participant: *
Do you or your student have any allergies? (hand sanitizer, cleaning agents? Bees? Grass?) *
Participant or Parent/Guardian Email Address responsible for billing: *
Do you have any current medical conditions that may be problematic during a workout class? *
Billing Address *
Emergency Contact Name and Number Other than Parent/Guardian previously listed above *
Lap Swim
June 12-June 30 (Closed June 19)
July 10-28
Tuesdays/ Thursdays/ Fridays
7:45-8:45AM
Lap Swim
Clear selection
Indicate which dates/ how many days if Day rate or 1 week selected above:
Aqua Fit $6
Mondays & Wednesdays AM 11:15-11:45 (June 12-June 28 Closed June 19) (July 10-27)

Thursdays 5:15-5:45PM (June 14- June 28) (July 13-27)
Aqua Fit
Clear selection
Indicate which dates if  1  day selected above:
Aqua Aerobics
Tuesdays & Thursdays 11:15-12:00 (June 13-29) (July 11-27)
Wednesdays 5:15-6:00 (June 14-28) (July 12-26)
Aqua Aerobics
Clear selection
Indicate which dates if 1 class selected above:
Senior Aquatics
Mondays & Wednesdays 11:50-12:35 (June 12-28 Closed June 19) (July 10-27)
Senior Aquatics
Clear selection
Indicate which dates if 1 class selected above:
Unlimited Class pass
Good for the whole summer of the program and valid for all group workout classes: Aqua fit, Aqua Aerobics, and Senior Aquatics
Unlimited Pass
Clear selection
Classes are non-refundable and do not transfer to other people or dates other than in this year's summer program dates June-July 2023 *
MM
/
DD
/
YYYY
Submit
Clear form
Never submit passwords through Google Forms.
reCAPTCHA
This form was created inside of South Fork Union School District. Report Abuse