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ALBRIGHT AQUATICS LEARN TO SWIM
ONLINE REGISTRATION - FALL WEEKLY SESSIONS

+++ Online registration deadline for Learn to Swim classes is one week prior to the start of the class +++
PLEASE NOTE THAT ONE FORM MUST BE COMPLETED FOR EACH CHILD

 
Child's Name:
Name:                      first                 middle               last
Child's Age:
Parent/Guardian:
Name:                            first                middle              last
Day Phone:
Address: Evening Phone:
City:   State:    Zip: Schumo Center Membership:
E-mail:

Learn to Swim

Schumo Center Members: $60/Session
Non-Members: $70/Session

Please choose the day and time:

DATE TIME
#1: October 31, November 1, 2, 3 6-6:45 p.m
#2: November 7, 8, 9, 10 6-6:45 p.m

  
Parent-Tot Learn to Swim

Schumo Center Members: $55
Non-members: $65

DATE TIME
#1: October 31, November 1, 2, 3 6-6:30 p.m.
#2: November 7, 8, 9, 10 6-6:30 p.m.

 
Please enter the FOURTH character in the following Albright logo:
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