Session 4 | Aug 12-16
Registration Form
Student's Name
*
First Name
Last Name
Student's Age
*
Parent's Name
*
First Name
Last Name
Email
*
example@example.com
Phone Number
*
-
Area Code
Phone Number
Please add here any additional information:
Please select:
*
Preschool 1 @ 10:05-10:50 am $47.00
Preschool 2 @ 10:05-10:50 am $47.00
Preschool 3 @ 10:05-10:50 am $47.00
Preschool 4 @ 10:05-10:50 am $47.00
Preschool 5 @ 10:05-10:50 am $47.00
Swimmer 1 @ 10:55-11:45 am $47.00
Swimmer 2 @ 10:55-11:45 am $47.00
Swimmer 3 @ 10:55-11:45 am $47.00
Swimmer 4 @ 1:05-1:55 pm $52.00
Swimmer 5 @ 1:05-1:55 pm $52.00
Swimmer 6 @ 1:05-1:55 pm $52.00
Rookie Patrol @ 2:00-3:00 pm $62.00
Ranger Patrol @ 2:00-3:00 pm $62.00
Star Patrol @ 2:00-3:00 pm $62.00
Payment:
*
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next
( X )
Preschool 1-5
$
47.00
CAD
Swimmer 1-3
$
47.00
CAD
Swimmer 4-6
$
52.00
CAD
Rookie Patrol
$
62.00
CAD
Ranger Patrol
$
62.00
CAD
Star Patrol
$
62.00
CAD
Credit Card
Submit
Should be Empty: