General 4 — Penn Brook Swim Club

2024 Swim Lesson Online Registration

STEP 1 - You must click here to choose your lesson time slot via Sign Up Genius. Then return to this page.

STEP 2 - Please complete registration below.

STEP 3 - Pay online by June 17th for all sessions.

Questions? Email pennbrookswimming@gmail.com.

Parent Name

First Name

Last Name

Phone

(###)

###

####

Swimmer 1 Name

First Name

Last Name

Swimmer 1 Birthday

YYYY

Swimmer 2 Name

First Name

Last Name

Swimmer 2 Birthday

YYYY

Swimmer 3 Name

First Name

Last Name

Swimmer 3 Birthday

YYYY

Please enter any additional notes for the swin instructor here:

PLEASE READ and INITIAL before submitting this form:

By submitting this signed form, you accept the $30 swim lesson fee per individual for four 30 minute lessons, and understand that there are NO REFUNDS for the swim lesson fees even in the event of thunderstorms. Lessons occur rain or shine.

2024 Swim Lesson Online Registration

Penn Brook Club