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Swim Lessons By Gianna

www.SwimWithGianna.weebly.com
GiannaDavis88@yahoo.com 210-391-7173

2015 Swim Registration Form


Parent/Guardian First/Last Name:

Cell:

Address:
State:

City:
Zip

Email:

Swimmers First/Last Name:

Age:

Session Dates (F/Sat)


1
2
3
4

June 12,13, 19, 20, 26, 27


July 10, 11, 17, 18, 24, 25
July 31, Aug 1,7, 8, 14, 15
August 21, 22, 29 * (1/2 price)

9am
9am
9am
9am

*Circle Preferred Session Time


930am 10am 10:30am 11am 11:30am
930am 10am 10:30am 11am 11:30am
930am 10am 10:30am 11am 11:30am
930am 10am 10:30am 11am 11:30am

*READ: Swim class times are assigned as registration forms come in and the swimmers class
time will be emailed to you as soon as possible for the session you have requested. We organize
classes averaging 4 children by swim level and age. There is a short break between classes. Feel
free to attach a note with any special needs or requests regarding times or lessons with siblings or
friends. We will do our best!
Your space is not confirmed until payment is received!

Full Payment of $75 is due at registration.


Cash or Personal Check Only (Payable To Gianna Davis)

**Swim Level (circle) 1 2 3 4 5 6 7 8 9 10


Not sure? Levels are described at www.SwimWithGianna.weebly.com
Check one:
O Age 3-5 yrs

O Age 6-8 yrs

O Age 9-14 yrs

O Age 15-Adult

I understand that I have reserved a space in the session marked above for six 30-minute lessons
and I will receive no refunds for missed lessons or no-shows. Make-up lessons will be offered as
much as possible if the instructor cancels class due to bad weather. Permission is given for
photography during lessons. I understand that these photos may appear in promotions (web, ad,
etc).
Signature:

Date:

1. Attach this to an e-mail to GiannaDavis88@yahoo.com and then bring in or mail your


payment to complete the registration.
Office Use Only
Payment Date
Amount $
O Cash
O Check #
Swimmer assigned to class during session beginning
at this time
Registration info sent in confirmation e-mail on this date

PO BOX 1139, Helotes, TX 78023

O Credit

PHONE: (210) 391-7173

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