Summer Registration 2023

TRADITIONAL Swim Summer 2023

Please fill out your information below to register for TRADITIONAL swim lessons.

The swim time is an approximation: lessons are 1:1, 20 minutes long.

EACH child needs a registration.

Registration fee per student: $40

Session 3:

Afternoons: Week of July 10-14 (Monday - Friday). Week of July 17 (Monday - Wednesday)

Please let me know if you have questions. Thank you.

Payments due at time of enrollment:

o $40 registration

o This can be paid via Venmo (@lynette-kitchen).

If we can’t find a swim lesson time, your registration will be refunded.

Parent/Guardian Name*

Prefix

First Name

Last Name

Address*

Address Line 1

Address Line 2

City

State

ZIP Code

Phone*

Email*

Will you be registering a sibling?*

Yes No

Session*

Sessions 3

Student Name*

Age*

Swim Experience*

please describe

Medical History*

please list any medical concerns

Swim Time

3:00 - 4:00 pm

Any additional information