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Spring 2018 - 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

  6. Select Preferred Set:

    (If you are registering in more than 1 set, please fill out an additional form. If you select more than one set/time we will assume these are all the days you are available)

  7. April 3rd - April 26th :

    *Please note, Monday April 2nd we are closed and this class will be made up Friday April 6th*

  8. April 30th - May 24th :

  9. May 28th - June 21st :

  10. May 5th - June 23rd :

    (Saturday Lessons)

  11. Does your child have any other 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)

  12. (Be sure to fill out a form for each sibling)

  13. (Be sure to fill out a form for each sibling)

  14. (Be sure to fill out a form for each sibling)

  15. Important dates and information:

    Please read the following carefully:

  16. • Lesson Applications must be sent in or returned to the Northern Lights Aquatic Centre on or before March 22nd, 2018

  17. • You will receive an email confirming your lessons dates and times on or before March 26, 2018

  18. • After receiving your confirmation email, payment must be received no later than March 29, 2018. If payment is not received on or before the due date, you will be removed from the class list

  19. • 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

  20. Electronic Signature

  21. Leave This Blank:

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