2021 Stickney Pool Swimming Lesson Registration

Payment due first day of lessons. $20/student. Cash or Check only. Checks payable to Stickney Pool. Thank you!

Student's First Name *

Student's Last Name *

Parent or Guardian Names *

Mailing Address *

Address Line 2

City *

State *

Zip Code *

Phone Number-What is the best number to contact you if lessons are cancelled due to weather. *

Email *

Session 1: July 19-30, 2021(weekdays only).

Level 1 - 11:30 AM-12:00 PM-need to be able to touch in 3 ft (2 remaining)	Level 2 - 11:00 AM - 11:30 AM (0 remaining)
Level 3 - 10:30 AM - 11:00 AM (1 remaining)	Level 4 - 10:00 AM - 10:30 AM (7 remaining)
Level 5 - 9:30 AM - 10:00 AM (6 remaining)	Level 6 - 9:00 AM - 9:30 AM (7 remaining)
I do not know-please contact me with my student's level	Add me to waiting list Add me to waiting list

Session 2: August 2-13, 2021(weekdays only).

Level 1 - 11:30 AM-12:00 PM-need to be able to touch in 3 ft (4 remaining)	Level 2 - 11:00 AM - 11:30 AM (0 remaining)
Level 3 - 10:30 AM - 11:00 AM (0 remaining)	Level 4 - 10:00 AM - 10:30 AM (5 remaining)
Level 5 - 9:30 AM - 10:00 AM (8 remaining)	Level 6 - 9:00 AM - 9:30 AM (8 remaining)
I do not know-please contact me with my student's level	Add me to waiting list Add me to waiting list