Skyline Swim Lesson Registration Form 2010
Submit one form per swimmer per session
Swimmer
First Name:  Last Name: Gender:
Birth Date:   Age as of June 1, 2010: (must be 4yrs - 10yrs as of June 1)
Parent
First Name:  Last Name:
Phone:  Cell Phone:
Email:

A $15.00 lesson card must be purchased at the start of your session. Each card entitles you to five lessons. Purchase additional cards to continue in the program.