Parent's Name	* required
Home Phone #	* required
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?	Comfortable in the water but has lost most of technique Some strokes (competent swimmer but needs stroke work)
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)
COST is $150 per child per session.I understand that to reserve my child's space, I must mail a check for the total amount of all requested sessions within 3 days of this submission. Checks are to be made payable to Wendy Greulach, and sent to 1201 Pajaro Street, Salinas CA, 93901. Receipt of your check will be acknowledged by e-mail. I agree to send payment within 3 days I need to make other payment arrangements.
Today's Date (mm/dd/yyyy)	* required