Swimmer and Parent Information

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1. Parent or Guardians Name (first and last)

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2. Email

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3. Phone Number

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4. Swimmer Name (first and last)

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5. Swimmer Age (As of first day of lessons)

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6. Have you taken swim lessons with Maverick Aquatics before?

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7. Swimmer level

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8. What are your goals for swim lessons for your child specifically? Any questions or concerns?

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9. Choose the time slot you would like for the session (We will try our best to accommodate preferred time slots)

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