swim lesson registration form spring group session information times: 7:15 pm spring session 6:...
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Swim Lesson Registration FormSpring Group Session Information
Times: 7:15 pm Spring Session 6: March 19 – April 12 Spring Session 7: April 23 – May 17
All spring sessions are held on Monday and Thursday evenings unless otherwise specified.
Classes are 30 minutes long
Summer Group Session InformationTimes: 10:00 am. 11:00 am, 6:00 pm, 7:00 pm Summer Session 1: June 4 – June 14 Summer Session 2: June 18 – June 28 *Summer Session 3: July 3 – July 13 Summer Session 4: July 16 – July 26 Summer Session 5: July 30 - August 9 Summer Session 6: August 13 – August 23
~All Summer sessions are Monday – Thursday at one of the times listed above. Participants may only attend during the time specified on their signed registration
form. Each class is 40 minutes long.*Summer Session 3 will run Mon, Tues, Thurs, Fri for week one
and Monday – Thursday for week two in observance of Independence day
**Registrations close the Saturday prior to the session start date. Any registrations after that point, if possible due to
openings, will incur a $10 late fee.**
Class Descriptions are on reverse side
Fees:Spring Group Lessons: $60
Summer Group Lessons: $70Private Lessons: $120 per
participant(4 x 30 min lessons)
*Semi Private: $100 per participant
(4 x 30 min. lessons)*must provide group of 2-3 swimmers
Sign up TODAY!!!!
For more information call, email, or check out our website at:
(972) 708-2370 / (214) [email protected]
www.swatswim.com
Check or cash only. Make checks payable to:
Southwest Aquatics of Texas
Participant’s Name: _________________________ D.O.B.: _____________Age: _____Parent’s Name: _________________________ Emergency #: ____________________
**Must have emergency phone on person at all times during the lesson**
Address: _______________________________ City, State, Zip: __________________Phone : __________________________ Email: ________________________________
Session: (Circle one) Spg 5 Spg 6 Spg 7 Sum 1 Sum 2 Sum 3 Sum 4 Sum 5 Sum 6Time (summer session only): (Circle one) 10:00 am 11:00 am 6:00 pm 7:00 pm Level: (circle one) Par/Child Goldfish Tuna Flounder Porpoise Beta Trout Advanced Adult
T-shirt Size: (circle one) YM YL AS AM ALHow did you hear about our program: __________________________________________Requested Private or Semi-Private Lesson Time and Start date: ______________________In case of emergency, I authorize Southwest Aquatics of Texas/Duncanville Natatorium staff to administer first aid to the
swimmer named above and/or take him/her to a physician or hospital for further treatment. I agree not to hold Southwest Aquatics of Texas/Duncanville Natatorium liable if my child is injured while participating in swim activities.
Parent Signature: ____________________________ Date: __________
Each child will receive a t-shirt upon completion of their lesson session. Only 1 shirt per child.
Office use only: Amt Pd:______ Cash / Check (circle one) Check #: _____ Staff Initials: _____
*DISD students & teachers will receive a $5 discount on each session with proof