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September Monday & Wednesday Level 3 Swimming Lessons Registration
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Required*
Participant 1 Info:
First Name*
Last Name*
Participant Date of Birth*
Email*
If minor Parent/Guardian Email
Participant Phone Number*
If minor - Parent/Guardian Phone Number
Emergency Contact Name*
Emergency Contact Phone Number*
Participant Medical Conditions
If staff should be aware.
Is the participant prescribed an inhaler?*
Yes
No
If yes, please send inhaler with instructions to lesson sessions.
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Add Another Participant
Base Cost
$94.40
quantity: 1
**Note: The price shown includes the Signed Up Sports service fee.
**Note: If any lessons that you are signing up for have a discount, the amount will be applied after leaving this page, and you should see a lower amount on the review cost page.
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