Swim Lesson Application Payment is due with this application (printer-friendly version). Cost per student: $65.00/ 8 session. Consecutive sessions: $60.00/after initial $65.00 Student must register for consecutive sessions together to receive $5.00 credit. Swim school: $110.
Name of Applicant: __________________________________________________________
Age:_________________ Date of Birth:____________________________________
Parent's Name:______________________________________________________________
Address: __________________________________________________________________
Home Phone: _______________________ Work Phone: ___________________________
Swim courses child has successfully completed: ____________________________________
Please list any disabilities or special concerns we should know about:
__________________________________________________________________________
Please indicate:
what session class time & level you would like to register for: Session:
Time: 124" Level:
Mail application to:
Sanaa Watsom / Swimming Office
gotswimming
1234 Western Ave
Garenda, CA 90247
Name of Applicant: __________________________________________________________
Age:_________________ Date of Birth:____________________________________
Parent's Name:______________________________________________________________
Address: __________________________________________________________________
Home Phone: _______________________ Work Phone: ___________________________
Swim courses child has successfully completed: ____________________________________
Please list any disabilities or special concerns we should know about:
__________________________________________________________________________
Please indicate:
what session class time & level you would like to register for: Session:
Time: 124" Level:
Mail application to:
Sanaa Watsom / Swimming Office
gotswimming
1234 Western Ave
Garenda, CA 90247