SWIM LESSONS – MEMBERS

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Swim Lessons - MEMBERS

Swim Lessons - MEMBERS

Name*

Member ID Number*

Last Name if you don't have a number yet

Child's Name*

Child's Age*

How many Sessions are you signing up for? Check only one*

1

2

3

4

What sessions are you signing up for? Check all that apply*

Session 1 (June 18th - 29th)

Session 2 (July 2nd - 13th)

Session 3 (July 16th - 27th)

Session 4 (July 30th - Aug 10th)

Swim Level* GuppiesFishMinnowsSharks

Email*

Phone Number

In Case of Emergency

Address Line 1*

Address Line 2

City*

State*ALAKARAZCACOCTDEFLGAHIIDILINIAKSKYLAMEMDMAMIMNMSMOMTNENVNHNJNMNYNCNDOHOKORPARISCSDTNTXUTVTVAWAWVWIWY

ZIP*

Total

Agreement*

I agree to this purchase and the processing fee to be applied.

My signature below acknowledges that I have read and understand the Northwood Swim Club rules, and agree by the submission of my membership/lesson fees to abide by them (rules available on the website). On occasion Northwood Swim Club takes photographs and/or video of the pool and surrounding property while members are present. These photos and video segments are used strictly for promotional purposes in print and on the web. By signing the application form you authorize Northwood Swim Club to use photos/video of you and your family members for this purpose. If you have questions or concerns about this policy please contact the event coordinator.

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