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ALBRIGHT AQUATICS LEARN TO SWIM
ONLINE REGISTRATION - WINTER 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:

DAY TIME
#1 SUNDAYS
January 8, 15, 22, 29
10-10:45 a.m. OR 11-11:45 a.m. OR 12-12:45 p.m.

  
Parent-Tot Learn to Swim

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

DAY TIME
#1 SUNDAYS
January 8, 15, 22, 29
10-10:30 a.m. OR 11-11:30 a.m. OR 12-12:30 p.m.

 
Please enter the FOURTH character in the following Albright logo:
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