SUMMER SWIM TEAM

June 8 – August 7

14343 Silverset St. Poway 92064

MORNING- All AGES

-Beginner Novice: Mon - Thurs |10:00-10:30am

-Advanced Novice: Mon – Thurs | 9:00-10:00am

AFTERNOON- All AGES

Please email: [email protected] or

call 858-224-4414 for afternoon options

First Participant Last Name *

First Name *

Select any Location *Rancho Arbolitos

Select Class Level *

Age *

Select Class Level *

Age *

Medical Conditions *

EpiPen *

Full/ 9 Weeks $699Any 4 Weeks $360 ( * Any Additional $90/week)

Second Participant Last Name

First Name

Select any Location *Rancho Arbolitos

Select Class Level *

Age *

Select Class Level *

Age *

Medical Conditions *

EpiPen *

Full/ 9 Weeks $699Any 4 Weeks $360 ( * Any Additional $90/week)

Third Participant Last Name

First Name

Select any Location *Rancho Arbolitos

Select Class Level *

Age *

Select Class Level *

Age *

Medical Conditions *

EpiPen *

Full/ 9 Weeks $699Any 4 Weeks $360 ( * Any Additional $90/week)

Parent/Guardian Name *

Phone *

Email Address *

Street Address *

City *

ZIP / Postal Code *

Signature *

Date *

Balance Due

Choose Payment Method *Pay with Zelle (After form submission)Pay with Credit Cards (3% extra charges)Check

Calculations

Credit / Debit Card *