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  • Registration Form Blank 2015

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    This document is a registration form for premium swimming lessons provided by Halyna Polityka. It requests contact information and availability for semi-private or private swimming lessons held during the last weeks of July and first weeks of August. Lessons are 50 minutes long and cost $120 per session. They follow Red Cross swimming guidelines and take place in an outdoor saltwater pool in Courtice, Ontario. The form details the registration and payment process and emphasizes the benefits of smaller class sizes and consecutive daily lessons.

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    registration form blank 2015

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    This document is a registration form for premium swimming lessons provided by Halyna Polityka. It requests contact information and availability for semi-private or private swimming lessons held during the last weeks of July and first weeks of August. Lessons are 50 minutes long and cost $120 per session. They follow Red Cross swimming guidelines and take place in an outdoor saltwater pool in Courtice, Ontario. The form details the registration and payment process and emphasizes the benefits of smaller class sizes and consecutive daily lessons.

    Copyright:

    © All Rights Reserved
    Download as PDF, TXT or read online from Scribd
    Flag for inappropriate content
    125 views2 pages

    Registration Form Blank 2015

    Uploaded by

    api-223543200
    This document is a registration form for premium swimming lessons provided by Halyna Polityka. It requests contact information and availability for semi-private or private swimming lessons held during the last weeks of July and first weeks of August. Lessons are 50 minutes long and cost $120 per session. They follow Red Cross swimming guidelines and take place in an outdoor saltwater pool in Courtice, Ontario. The form details the registration and payment process and emphasizes the benefits of smaller class sizes and consecutive daily lessons.

    Copyright:

    © All Rights Reserved
    Download as PDF, TXT or read online from Scribd
    Flag for inappropriate content
    of 2

    +Premium

    Swimming Instruction
    Registration Form

    Phone: 905-442-1679 (Calls will be returned end of July. Please resort to email)
    E-Mail: PremiumSwim@hotmail.com
    Web: www. PremiumSwimmingInstruction.com
    Last Name:

    Parent(s) / Guardian(s):

    Home Phone #:

    Cell Phone #:

    Full Address:


    Email Address:




    *All fields are required Invoices will be sent via email



    Please circle the week(s) you would like lessons and indicate any important details:
    July 27th 31st

    August 3rd 7th

    August 10th 14th

    August 17th 21st

    August 24th 28th


    Please circle all time slots that you are available to attend swimming lessons:
    9:00-9:50 am
    1:00-1:50 pm


    10:00-10:50 am
    2:00-2:50 pm

    11:00-11:50 am
    3:00-3:50 pm

    12:00-12:50 pm
    4:00-4:50 pm

    +Premium Swimming Instruction


    General Information

    RED CROSS SWIMMING LESSONS SEMI-PRIVATE/PRIVATE


    Instructor:
    Halyna Polityka Certified Red Cross National Lifeguard Service (NLS), Red Cross Water Safety Instructor &
    Life Saving Instructor

    Contact Information:
    PremiumSwim@hotmail.com
    *Please resort to email until July 16th as I will be out of the country
    905-442-1679

    Pool Details:
    Outdoor pool, 20 x 40, salt water & solar heated

    Location:

    4235 Tooley Rd. L1E 1Z4 Courtice

    Class Details:
    $120 per session, 50-minute classes, Monday to Friday regardless of holidays, Preschool & Swim Kids both
    offered, arrive at least 5 minutes ahead of time in order to begin class promptly, Lessons begin on the hour

    Payment Information:
    Cash or cheques payable to Halyna Polityka

    Why Premium Swimming Instruction?
    The week-long lesson schedule allows parents to notice day-by-day improvement; children find it
    much easier to build on what they have learned from the previous day, compared with the previous
    week
    The small number of students in each class is much more beneficial than the large groups offered
    through the municipality; students get much more attention and higher quality of swimming
    instruction
    Receive the benefit of an outdoor, salt water pool & relaxing setting

    Process: Submit completed forms via email ONLY until July 16th 2015 (I will be back in Canada July 16th for
    personal drop off at 18 Stephen Ave. Courtice, L1E 1Z2) schedules will be compiled an invoice will be
    sent via your email provided; including your scheduled time slots payment must be received 2 weeks
    prior to your childs lesson date in order to secure their spot

    I look forward to teaching your child this summer!


    Sincerely,

    Halyna Polityka

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