Swim Lessons Registration FormAbout YouParent Name(s)*Street Address*City*Postal Code*Phone*Cell PhoneEmail* Emergency ContactName*Phone*About Your PoolYour pool* In-ground Above ground HeatedAbout the Swimmer(s)Swimmer 1 Name*Swimmer 1 Age*Level*Allergies / Medical ConditionsSwimmer 2 NameSwimmer 2 AgeLevelAllergies / Medical ConditionsSwimmer 3 NameSwimmer 3 AgeLevelAllergies / Medical ConditionsSwimmer 4 NameSwimmer 4 AgeLevelAllergies / Medical ConditionsSwimmer 5 NameSwimmer 5 AgeLevelAllergies / Medical ConditionsSwimming SessionsPlease select preferred session week and then select preferred times.Session WeeksSummer 1: Jul. 4-7 and Jul. 10-13Summer 2: Jul. 18-21 and Jul. 24-27Summer 3: Jul. 31-Aug. 3 and Aug. 8-11Summer 4: Aug. 14-17 and Aug. 21-24Preferred Lesson Time - First Choice9 a.m.10:30 a.m.1:30 p.m.3 p.m.4:30 p.m. (Mon. to Thurs. only)6 p.m. (Mon. to Thurs. only)Preferred Lesson Time - Second Choice9 a.m.10:30 a.m.1:30 p.m.3 p.m.4:30 p.m. (Mon. to Thurs. only)6 p.m. (Mon. to Thurs. only)Preferred Session Length* 30 minutes 45 minutes 1 hourCreate my own schedulePlease select5 Lessons8 LessonsDates and TimesPlease enter the weeks and times you are interested in for a custom schedule.Δ