Swimming Lessons

$50.00

Unavailable

per item

REGISTRATION INSTRUCTIONS

Scroll down to the bottom of this page, fill out and submit the form below
If you are registering more than one child for the same program AND/OR registering another child for a different program, complete the first step for each child.
Once all registrations have been submitted add the appropriate amount of registrations to your cart and go through the check-out process.
If you are registering 2 children use promo code: 2ndchild
If you are registering 3 or more children use promo code 3rdchild
IF YOU NEED TO FILL OUT A SCHOLARSHIP FORM OR WANT TO PAY WITH CASH/CHECK DO NOT REGISTER ONLINE! CLICK HERE FOR PRINTABLE FORMS (click on the green buttons for printable forms).

SKU:

Quantity

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YOUTH REGISTRATION

* Indicates required field

Swim Class Selection *

Parent & Child Preschool Learn to Swim 1 (July 17-20) Learn to Swim 2 (July 24-27)

Participant's Name *

First

Last

Gender *

Male Female

DOB: MM/DD/YYYY *

Age at the start of class *

Parent/Guardian Name *

First

Last

Cell Phone Number *

Alt. Phone Number *

Address *

Line 1

Line 2

City

State

Zip Code

Country

Email *

Emergency Contact Name *

First

Last

Em. Contact Phone Number *

Is there an illness/injury that would be aggravated by your child's participation in this program? *

YES NO

If you checked YES above, please explain. This section can be used for notes for the program coordinator *

Any previous swim experience? *

I hereby relieve Somerset County Recreation & Parks, its staff, instructors or volunteers from any responsibility for any bodily injuries, etc., that may incur by myself or child as a result of participation in this program and/or activity.
By typing my electronic signature I am also aware of the program rules and will comply to those rules, including following directions given by the staff, instructor and/or official/referee. Failure to obey these rules may result in my dismissal from the program.

Please type your name for electronic signature *

Submit