Private Swim Camp Registration Form

Which Camp Week session would you like to sign up for? Which Camp Week session would you like to sign up for?Week 1 (June 24 - June 28)Week 2 (July 1 - July 5)Week 3 (July 8 - July 12)Week 4 (July 15 - July 19)Week 5 (July 22 - July 26)Week 6 (July 29 - Aug 2)Week 7 (Aug 5 - Aug 9)Week 8 (Aug 12 - Aug 16)Week 9 (Aug 19 - Aug 23)Week 10 (Aug 26 - Aug 30)

Which Camp time would you prefer? Which Camp time would you prefer?Morning Session 9:00am - 12:00pmAfternoon Session 1:00pm - 4:00pm

Name

Email Address

Home Phone Number

Cell Phone

Town

Address

Will you have more than one age group? Will you have more than one age group?YesNo

How many children in age group? How many children in age group?345

Age group 1? Age group 1?ToddlerPreschoolSchool AgeSwim and American Red Cross Jr. Lifeguard

Age group 2? Age group 2?ToddlerPreschoolSchool AgeSwim and American Red Cross Jr. Lifeguard

Will there be Nanny Available? Will there be Nanny Available?YesNo

Is there an indoor space available for rainy days? Is there an indoor space available for rainy days?YesNo

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