This Way to Better Swimming!

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Due to the volume of ongoing year round classes, we are unable to offer our  Summer Refresher Program at this time. 
 
Summer Swimmer Refresher Registration

Parent's Name

 * required

Home Phone #

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Cell Phone #

 * required

E-Mail

 * required

Child #1 Name

 * required

Child #1 Age

 * required

Child #2 Name

Child #2 Age

How Long Did Your Child Swim With Miss Wendy?

 * required

Have There Been Any Other Swim Lessons Since Then?  When?   Where?

 

   

What is your child's skill level at this time?

Additional Comments on Your Child's Ability

Please Select Your Choice of Camp Dates And Times
Note: Times change by age and session. You may select as many sessions as you would like to attend.

Session 1 (June 14-17) 9:00 a.m. (5-7 year olds)
Session 1 (June 14-17) 2:00 p.m. (8 years and up)
Session 2 (June 21-24) 9:00 a.m. (5-7 year olds)
session 2 (June 21-24) 2:00 p.m. (8 years and older)
session 3 (June 28-July 1) 9:00 a.m. (8 years and older)
Session 3 ( June 28-July 1 ) 2:00 p.m. ( 5-7 year olds)
Session 4 ( July 5-8 ) 9:00 a.m. ( 8 years and older}
Session 4 ( July 5-8 ) 2:00 p.m. (5-7 year olds)
Session 5 ( July 12-15 ) 9:00 a.m. (5-7 year olds)
Session 5 ( July 12-15 ) 2:00 p.m. ( 8 years and older)
Session 6 ( July 19-22 ) 9:00 a.m. (5-7 year olds)
Session 6 ( July 19-22 ) 2:00 p.m. ( 8 years and older )
Session 7 ( July 26-29 ) 9:00 a.m. (8 years and older)
Session 7 ( July 26-29 ) 2:00 p.m. ( 5-7 year olds)
Session 8 ( Aug 2-5 ) 9:00 a.m. (8 years and older)
Session 8 ( Aug 2-5 ) 2:00 p.m. (5-7 year olds)
I agree to send payment within 3 days
I need to make other payment arrangements.

Today's Date
(mm/dd/yyyy) 

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