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Summer 2019 - Lesson Registration Form

  1. Month / Day / Year

  2. Red Cross Swimming level you want to register in:

    (Select only one)

  3. Parented (3-36 months)*

  4. Preschool (3-6 years)*

  5. Swim Kids (5-6+)

  6. Please note: All summer lessons will be from Monday-Thursday for two weeks unless there is a holiday on a Monday.

  7. Does your child have any siblings that you are registering?

    (If so please write their names and select their levels in the space below. This will help us place your children in the same lesson set if possible, be sure to fill out addition registration forms for each child)

  8. (Be sure to fill out separate form for each sibling)

  9. (Be sure to fill out separate forms for each sibling)

  10. (Be sure to fill out separate forms for each sibling)

  11. Important Dates and information

    Please read the following carefully:

  12. •Saturday Lessons ( Seven Classes): Please note that there will be a $5.00 discount for one less lesson.

  13. • Lesson Applications must be sent in or returned to the Northern Lights Aquatic Centre on or before June 9th, 2019

  14. • You will receive a call or email confirming your lessons dates and times on or before June 25th, 2019

  15. • After receiving your confirmation email, payment must be received no later than June 28th, 2019. If payment is not received on or before the due date, you will be removed from the class list

  16. • Please note this does not guarantee your child a spot in lessons, though we will do our best to accommodate as many people as possible

  17. Electronic Signature

  18. Electronic Signature Agreement*

    By checking the "I agree" box below, you agree and acknowledge that your application will not be signed in the sense of a traditional paper document. By signing in this alternate manner, you authorize your electronic signature to be valid and binding upon you to the same force and effect as a handwritten signature.

  19. Leave This Blank:

  20. This field is not part of the form submission.