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 and Age:

First Name:

Middle Name:

Last Name:

Child’s Age:

Parent/Guardian Information:

First Name:

Middle/Maiden Name:

Last Name:

E-mail:

Day Phone:

Evening Phone:

Address:

City:

State:

Zip:

Schumo Center Membership:

Learn to Swim:

Schumo Center Members: $65/Session
Non-Members: $75/Session

Please choose the day and time:

DAY	TIME
#1 SUNDAYS January 5, 12, 19, 26	10-10:45 a.m. OR 11-11:45 a.m. OR 12-12:45 p.m.
#2 SUNDAYS February 2, 9, 23, March 1	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 5, 12, 19, 26	12-12:45 p.m.
#2 SUNDAYS February 2, 9, 23, March 1	12-12:45 p.m.

Please enter the red letter in the following image:

the letter R