FOR OFFICE USE ONLY Date Turned In: Paid: Assigned To And Date:

AVONWORTH COMMUNITY POOL 2012 GROUP SWIM LESSONS

Student Name: Parent or Guardian: Home Address: Phone and Email: ________ ________ ________ ________ ________ Session #1 Time: Session #2 Time: Session #3 Time: Session #4 Time: Session #5 Time: ________ ________ ________ ________ __________________________ Student Age: _____ _________________________________________________ _________________________________________________ _________________________________________________ _________________________________________________ June 11, 2012 Through June 22, 2012 _____ 9:30 AM _____ 9:30 AM _____ 9:30 AM _____ 10:30 AM _____ 10:30 AM _____ 10:30 AM _____ 10:30 AM _____ 10:30 AM _____ 6:45 PM _____ 6:45 PM _____ 6:45 PM _____ 6:45 PM _____ 6:45 PM June 25, 2012 Through July 6, 2012 July 9, 2012 Through July 20, 2012 July 23, 2012 Through August 3, 2012 August 6, 2012 Through August 17, 2012 Please check the session your child will be attending:

Please check the skill level of your child: Beginner (little exposure to water, puts face in) Advanced Beginner (kicks, beginning arm strokes) Intermediate (attempts freestyle, treads water) Advanced (needs stroke refinement, wants to dive) 2012 Group Swim Lesson Prices Pass Holders: $55.00 per session Non Pass Holders: $70.00 per session
NOTE: LESSONS ARE FORTY-FIVE MINUTES LONG AND ARE HELD MONDAY THROUGH THURSDAY ONLY (MAKE UP LESSONS WILL BE HELD ON FRIDAYS SHOULD LESSONS BE CANCELLED ON A GIVEN DAY). COMPLETED FORMS CAN BE DROPPED OFF AT THE POOL ALONG WITH PAYMENT (CASH OR CHECK ONLY). NO FORMS WILL BE ACCEPTED WITHOUT PAYMENT. CHECKS SHOULD BE MADE PAYABLE TO THE "AVONWORTH MUNICIPAL AUTHORITY."

Questions or Comments? Call the Pool at 412-364-0064 or email swimlessons@aquaticwatch.com Want To Keep Up To Date With All The "Happenings" At The Pool? Like Us On Facebook ("Avonworth Community Pool")