Cedarland Swim Reg Water Intro 6

Junior Indoor Swim Registration - Water Introduction Age 6 - 8 years

Please complete the registration form below for your junior. One form must be completed for each junior registering. If you have an account with Cedardale we will process your registration with your current card on file. If you do not have an account with Cedardale we will contact you shortly by phone to gather your form of payment and complete your registration.

Parent First Name

Parent Last Name

Address 1

City

State

Postal Code

Cell Phone

Email Address

Emergency Contact

Emergency Phone

Participant's First Name

Participant's Last Name

Date of Birth

Age

Class Options

Water Introduction Thursday 5:30 - 6:00 pm

Returning Participants May We Charge Your Card on File?

Yes

Full payment is required at time of registration. We will contact you if a class is full and we can not accommodate your registration. Cedardale reserves the right to use photos taken during lessons or programs for promotional purposes. If you wish that your child's photo not be used you must give a written request to the Aquatic Director. By submitting this registration you agree to the above terms.

* Bold Fields are Required - Required number fields will not accept 0's.

Junior Indoor Swim Registration - Water Introduction Age 6 - 8 years

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