Swimming Lessons will be held each Monday, Tuesday, Wednesday and Thursday. Each class will be forty-five minutes in length and class size will be limited. The fee for these lessons will be $120.00 per sesson. Each session will be two weeks in duration with eight lessons.

NAME ____________________________________________________________

ADDRESS _________________________________________________________

CITY ___________________________ State __________ Zip ________

PHONE # __________________________ Cell Phone # __________________

EMERGENCY CONTACT NAME ________________________ Phone # _____________

AGE _____________ DATE OF BIRTH _________________________

ATTENDING CAMP _________ DAYS _____ GROUP __________________

Not attending camp _______

SWIM LESSONS

Fee: $120.00 per session. There will be four sessions each two weeks in duration with 8 lessons. Lessons will be held each Monday, Tuesday, Wednesday and Thursday. Make-up classes will be held on Friday and Saturday if necessary.

SESSIONS:

SESSION 1     SESSION 2 SESSION 3

JUNE 25 - JULY 6 JULY 9 - JULY 19 JULY 23 - AUG 2

__________ __________ __________

CLASSES:

4:15 - 5:00 _________

5:15 - 6:00 _________

YOUR CHILD/CHILDREN WILL BE ASSIGNED TO THE PROPER CLASS BASED ON AGE AND ABILITY AFTER INSTRUCTORS GIVE THEM THE INITIAL SWIM TEST. CAMPERS WILL BE PLACED IN THE 4:15 CLASS. CHILDREN NOT ATTENDING CAMP WILL BE PLACED IN THE 5:15 CLASS BASED ON AVAILABILITY AND EXPERIENCE. BEGINNERS: Your child will be considered a beginner if he/she will not put their face in the water or has little or no experience. INTERMEDIATE: Can swim across the pool. ADVANCED: Can swim length of the pool and knows free style with breathing. Make check payable to: THE SHORE SUMMER CAMP                                Swim Lessons must be paid in advance.

DATE RECIEVED _____________ CHECK# ________________ AMOUNT $_______________

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                         Parent/Guardian Signature