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Summer Junior Swim Lesson Registration 2024 - Water Discovery 3 - 5 years
Please complete the registration form below for your junior. One form must be completed for each junior registering and each class they are registering for. We must received form of payment to complete the registration. A staff member will contact you to complete the registration when necessary.
Parent First Name
Parent Last Name
Address 1
City
State
Alabama
Alaska
Alberta
Arizona
Arkansas
Armed Forces Americas
Armed Forces Europe
Armed Forces Pacific
Bermuda
British Columbia
California
Colorado
Connecticut
Delaware
District of Columbia
Florida
Foreign Address
Georgia
Hawaii
Hong Kong
Idaho
Illinois
Indiana
Iowa
Kansas
Kentucky
Louisiana
Maine
Manitoba
Maryland
Massachusetts
Michigan
Minnesota
Mississippi
Missouri
Montana
Nebraska
Nevada
New Brunswick
New Hampshire
New Jersey
New Mexico
New York
Newfoundland
North Carolina
North Dakota
Northwest Territories
Nova Scotia
Nunavut
Ohio
Oklahoma
Ontario
Oregon
Pennsylvania
Prince Edward Island
Puerto Rico
Quebec
Rhode Island
Saskatchewan
Saskatchewan
Sinaloa
South Carolina
South Dakota
Tennessee
Texas
Utah
Vermont
Virgin Island
Virginia
Washington
West Virginia
Wisconsin
Wyoming
Yukon
Postal Code
Cell Phone
Email Address
Emergency Contact
Emergency Phone
Participant's First Name
Participant's Last Name
Date of Birth
Age
Class Options. Please select the class you wish to attend.
Water Discovery Mon, Tues, + Thurs 10:00 - 10:30 am
Water Discovery Mon, Tues + Thurs 11:00 - 11:30 am
Water Discovery Tues + Thurs 5:30 - 6:00 pm
Water Discovery Tues + Thurs 6:00 - 6:30 pm
Water Discovery Monday 1:30 - 2:00 pm (Session 2A only)
Water Discovery Monday 2:00 - 2:30 pm
Water Discovery Monday 5:00 - 5:30 pm (Session 2A only)
Water Discovery Monday 6:00 - 6:30 pm (Session 2A only)
Water Discovery Tuesday 1:00 - 1:30 pm (Session 2A only)
Water Discovery Tuesday 2:00 - 2:30 pm (Session 2A only)
Water Discovery Thursday 1:00 - 1:30 pm (Session 2A only)
Water Discovery Thursday 2:30 - 3:00 pm (Session 2A only)
Water Discovery Saturday 10:00 - 10:30 am (Session 2A only)
Water Discovery Saturday 11:00 - 11:30 pm (Session 2A only)
Sessions Offered. Please indicate which session(s) you wish to attend.
(select all that apply)
Session 3 July 15th - July 25th
Session 4 July 29 - August 8
Session 5 August 12 - August 22
Session 2A July 20 - August 22
Returning Participants May We Charge Your Card on File?
Yes
No
Full payment is required at time of registration. We will contact you if we can not accommodate your registration. Cedardale reserves the right to use photos taken during lessons or programs for promotional purposes. If you wish that your child's photo not be used you must give a written request to the Aquatic Director. By submitting this registration you agree to the above terms.
Send Request
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