Waterbury Swim Lesson Registration

Parents/Guardian Name: ______________________________________________

Complete Address: ___________________________________________________

____________________________________________________________________

Phone: _____________________________________________________________

Session (Circle one):     SESSION ONE                  SESSION TWO

1.) Participants Name_________________________________________________

Age_______________________________  

Level (Circle one)      WHITE     RED     YELLOW     BLUE     GREEN

 

2.) Participants Name_________________________________________________

Age_______________________________  

Level (Circle one)      WHITE     RED     YELLOW     BLUE     GREEN

 

3.) Participants Name_________________________________________________

Age_______________________________  

Level (Circle one)      WHITE     RED     YELLOW     BLUE     GREEN

 

4.) Participants Name_________________________________________________

Age_______________________________  

Level (Circle one)      WHITE     RED     YELLOW     BLUE     GREEN

If you have any questions feel free to call us at 216-741-9451 or email the Aquatics department at Aquatics@metropools.com

Mail to: Metropolitan Pool Service    Attn: Swim Lessons, 3427 Brookpark Road, Parma, Ohio 44134