Registration

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2011 Registration

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ONE FORM PER CHILD. If you need to register multiple children, please return to this screen.
Group Classes will be formed once there are enough students to fill a class.
We will begin scheduling in April. You will be contacted once we have placed your child.
Acceptance is not guaranteed until payment is received.
Once you click 'Submit Registration' you will be redirected to the Confirmation & Payment page.
Note to Parents: Before your child can advance to the next level he/she must be approved by Ms. Rhea.

TELL US ABOUT YOUR SWIMMERS (all fields marked * are mandatory)

*Swimmer Last Name:

*Swimmer First Name:

*Age:

Birth date: mm/dd/yyyy

*Previous Experience:

Parents/Adult Students: These questions are to determine placement.

Please answer them so your child ends up in the correct class.

Beginners

Potty trained? Yes No

3 years of age or older? Yes No
Has had little to no experience swimming. Little No Experience

Advance Beginner

Is not afraid of deep water?    Yes              No
Can swim on his/her back?    Yes             No
Has been introduced to the crawl stroke and perform a facsimile? Yes      No

Note - Will work on crawl stroke, elementary backstroke, jumping into deep water and swimming to side of pool doing crawl stroke, and introduce breathing to the side on crawl stroke.

Intermediates

Can swim the crawl stroke? Yes No
Can swim the elementary backstroke? Yes No

Note - We will work on breathing during crawl stroke, back stroke, introduce breast stroke, making the crawl stroke efficient, diving in deep water. Kids in this class will be expected to complete laps in the class pool.

Stroke Development

Has taken classes with Ms. Rhea in previous summers Yes No
Can swim laps in full size pool? Yes No

Note - We will work on side stroke and some butterfly, and improve all stroke levels so your child can swim multiple lengths of the pool without stopping.

Adult Lessons

I have taken lessons as an adult in previous years Yes No
I'm interested in: Semi-private Private

Any comments about your child, scheduling, etc:

PARENT INFORMATION (all fields marked * are mandatory)

*Parent's Full Name:

*Address:

*City:

*Zip:

*Home Phone:

(we must have phone for weather cancellations)

*Cell/Alternate Phone:

(if no cell phone, write "no cell")

*Email 1:

(if no email, write "no email")

Email 2:

Referred by:

CLASS SELECTIONS

- Please select your class preference by choosing the session that fits your schedule.

- Classes are 30 minutes in length and each group session includes 8 classes.

- Tune-Up Session is 5 Classes, 45-minutes per class.

- Since classes include multiple students and we try hard to schedule siblings back to back, there is no guarantee that you will receive the exact time selected. We try hard to get as close as possible.

- Please select your PREFERRED SESSION and DESIRED TIME. IF WE DO NOT HAVE THIS INFORMATION, YOUR

SCHEDULING REQUEST MAY BE DELAYED.

Session

Dates/Times

Level

Preferred Time

SESSION 1 (Tune Up)

SESSION 2

SESSION 3

SESSION 4

SESSION 5

May 30, 31, Jun 1, 2, 3 - 3:30pm-6:15pm - No Beginners

Jun 13, 14, 15, 16 & Jun 20, 21, 22, 23 - 3pm-7:30pm

Jun 28,29,30, Jul1 & July 5, 6, 7, 8 - 4pm-7:30pm

Jul 11, 12, 13, 14 & Jul 18, 19, 20, 21 - 4pm-7:30pm

July 25, 26, 27, 28 & Aug 1, 2, 3, 4 - 4pm-7:30pm

Beginner 3-yr old

Beginner 4 & Up

Adv Beginner 4 & Up
Intermediates

Stroke Development

Performance

Private

Adult Group Class

Mid-Afternoon

Late Afternoon

Evening

CLASS FEES AND PAYMENT

All fees listed are per student.

Prices in red are EARLY REGISTRATION PRICES and are offered until APRIL 30, 2011

	Early Bird
TUNE-UP SESSION 5 Classes; May 30th thru Jun 3rd Only	$90

GROUP CLASSES 8 Classes	$119

SEMI-PRIVATE CLASSES 8 Classes	$225

PRIVATE CLASSES
Single private lesson	$50 / half hr
3 lesson private session	$150
4 lesson private session	$180
8 lesson private session	$350

Please contact Dixie Beadles for Private Lesson scheduling.

PAYMENT METHODS:

Check - All payments made by check must be received in order to reserve your child's spot in a class.

Paypal - PayPal is a secure credit/debit card processing site

IF YOU ARE REGISTERING 3 OR MORE SIBLINGS, ASK ABOUT OUR MULTI-SIBLING DISCOUNT.

SELECT THIS BELOW AND WE WILL SEND YOU A CUSTOM INVOICE WITH DISCOUNT SUBTRACTED.

DO NOT MAKE PAYMENT ON NEXT PAGE.

If all information above is correct. Please click submit to continue.
We look forward to meeting your swimmer!