Registration Form- One Per Family

Please answer the questions below to complete swim lesson
registration. For the availability questions please check off all the
dates/time ranges you are available for. Once completed, please proceed back to the site to pay through PayPal. Once payment is completed we send you an email with your booked lessons. Thanks so much! 

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* 1. Full Name of Student and Age? (Please list all students)

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* 2. Name of Parent or Guardian?

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* 3. Address of Pool?

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* 4. Lesson Package of Choice?

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* 5. What days and time ranges are you available Week of May 17th?

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* 6. What days and time range are you available the week of May 24th?

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* 7. What days and time ranges are you available Week of May 31st?

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* 8. What days and time ranges are you available Week of June 7th?

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* 9. What days and time ranges are you available week of June 14th?

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* 10. What days and time ranges are you available week of June 21st?

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* 11. What days and time ranges are you available Week of June 28th?

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* 12. What days and time ranges are you available Week of July 5th?

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* 13. What days and time ranges are you available week of July 12?

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* 14. What days and time ranges are you available week of July 19th?

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* 15. What days and time ranges are you available week of July 26th?

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* 16. What days and time ranges are you available week of Aug 2nd?

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* 17. What days and time ranges are you available Week of Aug 9th?

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* 18. What days and time ranges are you available Week of Aug 16th?

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* 19. What days and time ranges are you available week of Aug 23rd?

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* 20. What days and time ranges are you available Week of Aug 30th?

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* 21. What days and time ranges are you available week of Sept 6th?

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* 22. Any additional notes you would like us to know about?

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