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Registration Information
Student
Type:
New student
Returning student
Request Day/Time Change
Full Name:
Birth Date:
January
February
March
April
May
June
July
August
September
October
November
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01
02
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04
05
06
07
08
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22
23
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25
26
27
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31
/
Month/Day/YYYY
Skill Level:
Select skill level...
No water experience
Comfortable in water
Can put face in water
Can swim 3-6 feet (basic dog paddle)
Can swim on back
Can swim 10 feet with pop up breath
Knows basic freestyle
Very strong in freestyle and backstroke
Experience on a swim team
Summer
June 4-15
Select time...
Early Morning (9:00am - 11:00am)
Late Morning (11:00am - 1:00pm)
June 18-29
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Early Morning (9:00am - 11:00am)
Late Morning (11:00am - 1:00pm)
July 2-13
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Early Morning (9:00am - 11:00am)
Late Morning (11:00am - 1:00pm)
July 16-27
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Early Morning (9:00am - 11:00am)
Late Morning (11:00am - 1:00pm)
July 30-Aug 10
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Early Morning (9:00am - 11:00am)
Late Morning (11:00am - 1:00pm)
Year Round
Frequency:
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Once a week
Twice a week
Preferred Schedule-1
st
choice:
Select day...
Monday
Tuesday
Wednesday
Thursday
Friday
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Morning (8:30am - Noon)
Afternoon (12:30pm - 4:30pm)
Evening (4:30pm - 6:30pm)
Preferred Schedule-2
nd
choice:
Select day...
Monday
Tuesday
Wednesday
Thursday
Friday
Select time period...
Morning (8:30am - Noon)
Afternoon (12:30pm - 4:30pm)
Evening (4:30pm - 6:30pm)
Preferred Schedule-3
rd
choice:
Select day...
Monday
Tuesday
Wednesday
Thursday
Friday
Select time period...
Morning (8:30am - Noon)
Afternoon (12:30pm - 4:30pm)
Evening (4:30pm - 6:30pm)
Student 2
Type:
New student
Returning student
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Full Name:
Birth Date:
January
February
March
April
May
June
July
August
September
October
November
December
/
01
02
03
04
05
06
07
08
09
10
11
12
13
14
15
16
17
18
19
20
21
22
23
24
25
26
27
28
29
30
31
/
Month/Day/YYYY
Skill Level:
Select skill level...
No water experience
Comfortable in water
Can put face in water
Can swim 3-6 feet (basic dog paddle)
Can swim on back
Can swim 10 feet with pop up breath
Knows basic freestyle
Very strong in freestyle and backstroke
Experience on a swim team
Summer
June 4-15
Select time...
Early Morning (9:00am - 11:00am)
Late Morning (11:00am - 1:00pm)
June 18-29
Select time...
Early Morning (9:00am - 11:00am)
Late Morning (11:00am - 1:00pm)
July 2-13
Select time...
Early Morning (9:00am - 11:00am)
Late Morning (11:00am - 1:00pm)
July 16-27
Select time...
Early Morning (9:00am - 11:00am)
Late Morning (11:00am - 1:00pm)
July 30 - Aug 10
Select time...
Early Morning (9:00am - 11:00am)
Late Morning (11:00am - 1:00pm)
Year Round
Frequency:
Select frequency...
Once a week
Twice a week
Preferred Schedule-1
st
choice:
Select day...
Monday
Tuesday
Wednesday
Thursday
Friday
Select time period...
Morning (8:30am-Noon)
Afternoon (12:30pm-4:30pm)
Evening (4:30pm-6:30pm)
Preferred Schedule-2
nd
choice:
Select day...
Monday
Tuesday
Wednesday
Thursday
Friday
Select time period...
Morning (8:30am - Noon)
Afternoon (12:30pm - 4:30pm)
Evening (4:30pm - 6:30pm)
Preferred Schedule-3
rd
choice:
Select day...
Monday
Tuesday
Wednesday
Thursday
Friday
Select time period...
Morning (8:30am - Noon)
Afternoon (12:30pm - 4:30pm)
Evening (4:30pm - 6:30pm)
Student 3
Type:
New student
Returning student
Request Day/Time Change
Full Name:
Birth Date:
January
February
March
April
May
June
July
August
September
October
November
December
/
01
02
03
04
05
06
07
08
09
10
11
12
13
14
15
16
17
18
19
20
21
22
23
24
25
26
27
28
29
30
31
/
Month/Day/YYYY
Skill Level:
Select skill level...
No water experience
Comfortable in water
Can put face in water
Can swim 3-6 feet (basic dog paddle)
Can swim on back
Can swim 10 feet with pop up breath
Knows basic freestyle
Very strong in freestyle and backstroke
Experience on a swim team
Summer
June 4-15
Select time...
Early Morning (9:00am - 11:00am)
Late Morning (11:00am - 1:00pm)
June 18-29
Select time...
Early Morning (9:00am - 11:00am)
Late Morning (11:00am - 1:00pm)
July 2-13
Select time...
Early Morning (9:00am - 11:00am)
Late Morning (11:00am - 1:00pm)
July 16-27
Select time...
Early Morning (9:00am - 11:00am)
Late Morning (11:00am - 1:00pm)
July 30 - Aug 10
Select time...
Early Morning (9:00am - 11:00am)
Late Morning (11:00am - 1:00pm)
Year Round
Frequency:
Select frequency...
Once a week
Twice a week
Preferred Schedule-1
st
choice:
Select day...
Monday
Tuesday
Wednesday
Thursday
Friday
Select time period...
Morning (8:30am - Noon)
Afternoon (12:30pm - 4:30pm)
Evening (4:30pm - 6:30pm)
Preferred Schedule-2
nd
choice:
Select day...
Monday
Tuesday
Wednesday
Thursday
Friday
Select time period...
Morning (8:30am - Noon)
Afternoon (12:30pm - 4:30pm)
Evening (4:30pm - 6:30pm)
Preferred Schedule-3
rd
choice:
Select day...
Monday
Tuesday
Wednesday
Thursday
Friday
Select time period...
Morning (8:30am - Noon)
Afternoon (12:30pm - 4:30pm)
Evening (4:30pm - 6:30pm)
Parent/Guardian Information
Full Name:
Home Phone:
  Work Phone:
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