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Swim Zone: Online Registration
Please fill in the following registration form and we will followup with your registration.
Generated with Mad4Joomla Mailforms Version 1.1.9.1
*
Required information.
Family Name
*
Address
*
City
*
Postal Code
*
Phone Number
*
Email
*
Child 1 Given Name
*
Child 1 Date of Birth
*
Child 1 Current Level
*
Child 1 Course Selected
*
Child 1 Course Season
*
Spring
Summer
Fall
Winter
Child 1 1st Choice for Course Session Date & Time
*
[Please Select]
Monday 10:30am - 12:30pm
Monday 4:00pm - 7:30pm
Tuesday 10:30am - 12:30pm
Tuesday 4:30pm - 7:30pm
Wednesday 10:30am - 12:30pm
Wednesday 4:30pm - 7:30pm
Thursday 10:00am - 12:30pm
Thursday 4:00pm - 7:30pm
Saturday 9:30am - 1:30pm
Sunday 9:00am - 1:00pm
Intensive 1
Intensive 2
Intensive 3
Child 1 2nd Choice for Course Session Date & Time
*
[Please Select]
Monday 10:30am - 12:30pm
Monday 4:00pm - 7:30pm
Tuesday 10:30am - 12:30pm
Tuesday 4:30pm - 7:30pm
Wednesday 10:30am - 12:30pm
Wednesday 4:30pm - 7:30pm
Thursday 10:00am - 12:30pm
Thursday 4:00pm - 7:30pm
Saturday 9:30am - 1:30pm
Sunday 9:00am - 1:00pm
Intensive 1
Intensive 2
Intensive 3
Child 2 Given Name
Child 2 Date of Birth
Child 2 Current Level
Child 2 Course Selected
Child 2 Course Season
Spring
Summer
Fall
Winter
Child 2 1st Choice for Course Session Date & Time
[Please Select]
Monday 10:30am - 12:30pm
Monday 4:00pm - 7:30pm
Tuesday 10:30am - 12:30pm
Tuesday 4:30pm - 7:30pm
Wednesday 10:30am - 12:30pm
Wednesday 4:30pm - 7:30pm
Thursday 10:00am - 12:30pm
Thursday 4:00pm - 7:30pm
Saturday 9:30am - 1:30pm
Sunday 9:00am - 1:00pm
Intensive 1
Intensive 2
Intensive 3
Child 2 2nd Choice for Course Session Date & Time
[Please Select]
Monday 10:30am - 12:30pm
Monday 4:00pm - 7:30pm
Tuesday 10:30am - 12:30pm
Tuesday 4:30pm - 7:30pm
Wednesday 10:30am - 12:30pm
Wednesday 4:30pm - 7:30pm
Thursday 10:00am - 12:30pm
Thursday 4:00pm - 7:30pm
Saturday 9:30am - 1:30pm
Sunday 9:00am - 1:00pm
Intensive 1
Intensive 2
Intensive 3
Child 3 Given Name
Child 3 Date of Birth
Child 3 Current Level
Child 3 Course Selected
Child 3 Course Season
Spring
Summer
Fall
Winter
Child 3 1st Choice for Course Session Date & Time
[Please Select]
Monday 10:30am - 12:30pm
Monday 4:00pm - 7:30pm
Tuesday 10:30am - 12:30pm
Tuesday 4:30pm - 7:30pm
Wednesday 10:30am - 12:30pm
Wednesday 4:30pm - 7:30pm
Thursday 10:00am - 12:30pm
Thursday 4:00pm - 7:30pm
Saturday 9:30am - 1:30pm
Sunday 9:00am - 1:00pm
Intensive 1
Intensive 2
Intensive 3
Child 3 2nd Choice for Course Session Date & Time
[Please Select]
Monday 10:30am - 12:30pm
Monday 4:00pm - 7:30pm
Tuesday 10:30am - 12:30pm
Tuesday 4:30pm - 7:30pm
Wednesday 10:30am - 12:30pm
Wednesday 4:30pm - 7:30pm
Thursday 10:00am - 12:30pm
Thursday 4:00pm - 7:30pm
Saturday 9:30am - 1:30pm
Sunday 9:00am - 1:00pm
Intensive 1
Intensive 2
Intensive 3
Additional Comments
Hover over the left image and enter the security code into the right textfield.
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