Swiming Lessons/Clinics

1. Please fill out your personal information

(* denotes required fields.)

*Name
*Address
*City, State, Zip
*Day Phone Night Phone
*Email

2. I would like to sign up for:
Private Lesson(s)
Group Lesson(s)
Clinic(s)

3. Name(s) of participants:






4. List the clinic or group lesson.
(For a list of clinic and group lessons, see the current newsletter).

5. Please notify me of available private lesson times.
6. Please let me know if the following day and time(s) is
available for private lessons.

7. Please notify me of cost.

8. Other Questions, Requests or Comments:




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