Summer Session 3 Swimmer and Parent Information Question Title 1. Parent or Guardians Name (first and last) OK Question Title 2. Email OK Question Title 3. Phone Number OK Question Title 4. Swimmer Name (first and last) OK Question Title 5. Swimmer Age (As of first day of lessons) OK Question Title 6. Have you taken swim lessons with Maverick Aquatics before? Yes No OK Question Title 7. Swimmer level Level 1 Level 2 Level 3 Level 4 Preteam OK Question Title 8. What are your goals for swim lessons for your child specifically? Any questions or concerns? OK Question Title 9. Choose the time slot you would like for the session (We will try our best to accommodate preferred time slots) 10:00-10:30 am 10:30-11 am 11-11:30 11:30-12 12:-12:30 12:30-1 OK DONE