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Parent / Guardian First Name
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Parent / Guardian Last Name
Parent / Guardian Email Address
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Subject
Parent/Child
Pre-School
School Age
Competitive
Private Lessons
Other
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Parent / Guardian First Name
Yo, you had better fill this out, it's required.
Parent / Guardian Last Name
Parent / Guardian Email Address
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Student's First Name
Student's Last Name
Student's Age
Swim lessons run between 4 - 8pm Monday - Friday and 9am to 12pm Saturday.
Select which days you are available to attend. Please check as many as apply.
Monday
Tuesday
Wednesday
Thursday
Friday
Saturday
Please explain the student's current swimming ability including, do they put their face in the water? Can they swim laps? Please include any details you think may be important.
Do you have any special requests? i.e. instructor preference, time preference, etc.
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