Cedardale Health & Fitness 9 - 14 years Water Skill 2023

Summer Junior Swim Lesson Registration 2023 - Introduction to Water Skills 9 - 14 years

Please complete the registration form below for your junior. One form must be completed for each junior registering and each class they are registering for. We must received form of payment to complete the registration. A staff member will contact you to complete the registration when necessary.

Parent First Name

Parent Last Name

Address 1

City

State

Postal Code

Cell Phone

Email Address

Full payment is required at time of registration. We will contact you if we can not accommodate your registration. Cedardale reserves the right to use photos taken during lessons or programs for promotional purposes. If you wish that your child's photo not be used you must give a written request to the Aquatic Director. By submitting this registration you agree to the above terms.

* Bold Fields are Required - Required number fields will not accept 0's.