REGISTRATION FORM
WATER BABIES
Water Babies: Approx. Age 6-24 months.
This is a pre-introductory class for infants. This class is designed to help them
enjoy the water safely. Parent(s) are required to enter the water with their child.
STUDENT’S NAME: ______________________
D.O.B. ___/____/____
Today’s Date __/____/___
ADDRESS: ___________________________ CITY________________ZIP_________
PARENTS’ NAMES: ___________________________________PHONE #: ______________________
FEES: Payment required at time of registration
$40 member $55 non-member
Lessons are 30 minutes in length. 6 week session once a week.
Must have a minimum of 4 registrations to run class.
Max of 12 students per class.
Session: April 20th-May 25th
Circle day
Tuesdays or Thursdays
5:30-6:30pm – ½ hour of instruction followed by.
Parent and Baby Free Swim for those in lessons only: 6:00-6:30pm
□Check □Credit Card
Staff use only: Method of payment: □Cash
□Signed Waiver □Added to Schedule Trans. ID#______ Package ID #______