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Willowood Swim Club 2010 Swimming Lesson Registration
*
Indicates required field
Parent / Legal Guardian Name
*
First
Last
Swimmer Name
*
First
Last
Willowood Member:
*
Yes
No
Address
*
Line 1
Line 2
City
State
Zip Code
Country
Enter(NA)if information is not available / applicable. Example: ( Line2: NA)
Phone Number
*
Email
*
Swimmer Age
*
Swimmers age as of date of lesson.
Swim Lession Session Selection:
*
Morning 1: June 21 - July 1
Morning 2: July 5 - 16
Morning 3: July 19 - 29
Morning 4: August 2 - 12
Evening 1: July 12 - 23
Evening 2: Aug 2 - 13
Registering for Swimmer Instruction Level:
*
Preschool Level 1
Preschool Level 2
Preschool Level 3
Learn to Swim Level 1
Learn to Swim Level 2
Learn to Swim Level 3
Learn to Swim Level 4
Swim Lession Session Time Slot Selection:
*
9:30 to 10:00 AM
10:10 to 10:40 AM
10:50 to 11:20 AM
6:00 to 6:45 PM
6:55 to 7:40 PM
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:
*
Yes
No, I will be contacting the Pool Management for further information.
Please confirm that you have read and understand the Lesson fees and impact of timely fee payment.
Parent or Legal Guardian Confirmation of Swimmer Registration:
*
Please enter name of parent commiting the swimmer to the swimming lesson.
Willowood Pool Management contact form here. (this can be made active via e-mail)
Submit Swimming Lesson Registration
Home
About
Amenities
Photo Gallery
EAC Swimming
Membership
Activities
Swim Lessons
Diving Lessons
Water Aerobics
Employment
FAQs
Rules & Regulations
Policies
CONTACT