Aquatics Registration Form

Personal Information

Parent or Guardian:

Student Name:

Mailing Address:

City:

State:

Zip:

My City is not listed:

Work Phone#:
Home Phone#:		Cell Phone (To be notified of cancellations):

Class Selected

Fill in the Class Name, Session Number, Day, and Time of the class you want to attend. Use the Session Dates button to refresh your memory of when a particular class will take place.

Number of Students:

Class:	Day:	Time:

Class Membership Level:

Session:

Do you fall into any of the following categories?

Amount Enclosed:

Check #:

Date:

Ticket #______ (For office use only)

Please Note: Credit for programs will be given to those who need to
cancel a registration.

DATES TO REMEMBER:

The pool and all pool related programs will be CLOSED on FRIDAY JULY 4, 2008, in observance of Independence Day, THURSDAY NOVEMBER 27, 2008, in observance of Thanksgiving, THURSDAY DECEMBER 25, 2008, in observance of Christmas, and THURSDAY JANUARY 1, 2009, in observance of NEW YEARS.
The pool and all pool related programs will close at 1:00 on WEDNESDAY DECEMBER 24, 2008.

MINIMUM ENROLLMENT:

CLASSES WILL NEED A MINIMUM OF SIX PARTICIPANTS TO RUN A SCHEDULED CLASS.

MISSED CLASSES:

MISSED CLASSES OTHER THAN THOSE CANCELLED BY CROTCHED MOUNTAIN AQUATICS, CAN NOT BE MADE UP. THOSE CLASSES CANCELLED BY CROTCHED MOUNTAIN AQUATICS WILL BE MADE UP AT THE END OF THE SESSION.