Swimming Lesson Registration Test

Willowood Swim Club 2010 Swimming Lesson Registration

* Indicates required field

Parent / Legal Guardian Name *

First

Last

Swimmer Name *

First

Last

Willowood Member: *

Address *

Line 1

Line 2

City

State

Zip Code

Country

Phone Number *

Email *

Swimmer Age *

Swim Lession Session Selection: *

Registering for Swimmer Instruction Level: *

Swim Lession Session Time Slot Selection: *

If swimmer has taken lesson before, please indicate level completed and from where: *

Lesson Fees:
Members: $35.00 and Non-Members: $45.00. Payment must be made immidiatly following registration in order to hold your space. Payments maybe made directly to Pool Managers or by mail Need to add address here. Make checks payable to Willowood Swim Club.

I have read and understand the Lesson Fees: *

Parent or Legal Guardian Confirmation of Swimmer Registration: *

Willowood Pool Management contact form here. (this can be made active via e-mail)

Submit Swimming Lesson Registration