Swim School

Summer Camps Registration 2019

Magenta fields are required.

Current Family Past Family New Family

Location: Apple Valley
 
 
Parents’ Names:
E-mail address:
Address:
City:
State:
Zip:
Phone:
Alt Phone:
How did you hear about us?
 
 
1st Swimmer’s Name:
Birthday: ,
Level:
 
  
2nd Swimmer’s Name:
Birthday: ,
Level:
 
 
3rd Swimmer’s Name:
Birthday: ,
Level:
 
  
Summer Swim Options (Check All That Apply)    Swimmer 1    Swimmer 2    Swimmer 3
Superhero Camp! (7/8–7/11)
Ages 5+ ONLY
4 days 1–3:30pm
Superhero Camp! (7/22 & 7/24)
Ages 3–6 ONLY
2 days 2–4pm
Superhero Camp 2.0! (7/23 & 7/25)
Ages 3–6 ONLY
2 days 2–4pm
Superhero Camp 2.0! (8/5–8/8)
Ages 5+ ONLY
4 days 1–3:30pm
Team Camp (8/19–8/22)
Must be in levels JD4, SD2, SD3, RD, Team Prep or Bronze Team
4 days 1–3:30pm
 
  
Tuition Information
First 4 day Camp per Child: $100
Second 4 day Camp per Child (same swimmer): $50
First 2 day Camp per Child: $50
Second 2 day Camp per Child (same swimmer): $25
 
Tuition: $
 
 
Any Food/Animal allergies (or other special instructions/comments)?
 
Release
In consideration for Wise Swim School accepting my child into its program, I agree to assume all risks, costs and loses sustained by my child, myself and our guests in connection with the use of the Wise Swim School facility. I give permission to Wise Swim School and/or appropriate medical personnel to perform, at my expense, any emergency procedures judged necessary for the care and protection of my child while under the supervision of Wise Swim School. *We reserve the right to cancel/combine classes. Teacher requests can me made but are not guaranteed.

Please type an “x” in the box to indicate your agreement.

 
 
 
Enter the letters and/or
numbers in the image above:
  Try a new image
 
 
Bluewater Acquatic CenterRiptide Swim Team