Waterlilly Swim School


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Waterlilly Swim School Pre-Enrollment Form 2010
Ages 6 months to 10 years old.

If you have a firewall or high internet security settings, you may have problems with submitting. Please email for a paper version if you continue to have problems. Contact Info:

Parent Name:*	First & Last Name
Parent Name 2:	First & Last Name
Guardian Name:	First & Last Name
Email Address:*

Primary phone type/number:*
Secondary Phone type/number:*
Other Phone type/number:

Address:*

Student Info:
How many children do you want to enroll?

Offering Afternoon Classes in March 2010, and Morning classes in May 2010.

Child: #1

Child's Name:*
Birthdate:*
Returning?

Schedule: select your preferred starting date/times

1^ST Choice:*
2^ND Choice:*
3^RD Choice:
4^TH Choice:
5^TH Choice:

Please indicate if you are interested in the Basic Strokes Program under comments and/or any other pertinent information. Thank you.

Where did you hear about us?

Comments:

Would you like an official Waterlilly Swim School trophy upon completion of program for a minimal fee of $5.00? This is a 7" trophy that has the Waterlilly logo.* Payable at time of completion. These are a nice and memorable reward for such an accomplishment!
Yes or No

Because of the high demand for ISR lessons, Waterlilly Swim School's policy is first come, first served.

To reserve a timeslot, the 1st week's tuitition must be submitted with this form. Once you click the pre-enroll button you will have a link to finalize with credit card or check.

About one to two weeks prior to starting lessons, the ISR Registration link will be sent to you. The ISR registration fee is one-time fee of $105.00.

Select Year: