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SWIM at for oak cliff

Swim Lesson Sign Up!

Please complete the form for each participant you are signing up.

*If you are signing up a minor they must be at least three years of age.
Limited Spaces in each cohort

* Indicates required field

Participant's Name *

First

Last

Age *

Parent's Name *

First

Last

Address *

Line 1

Line 2

City

State

Zip Code

Country

Phone Number *

Email *

Emergency Contact Cell Phone Number *

Does the participant have any medical condition of which the instructor should be aware? (ie. diabetes, asthma, or suffers from seizures) *

Yes No

If yes, please explain *

Please estimate your child's current skills and abilities by choosing one of these descriptions. *

Child hasn't had any swimming lessons or doesn't exhibit the skills on the next line Child opens eyes under water, submerges mouth & nose, floats on back, glides on front & enters and exits the water independently Child exhibits skills above as well as, goes under water, treads water, can front float & rollover to a back float and can push off and swim using a combination of arm and leg actions for 15 feet on both front and back. Child needs stroke development. Child exhibits skills above and can jump into deep water & return to the side, swim front crawl for 15 yards with face in the water, tread water for 30 seconds, and dive in from kneeling position. Child needs stroke improvement Child exhibits all the skills above and can swim front crawl for 25 yards, float on back for one minute, swim elementary backstroke and the breast stroke for 15 yards

Listed are the number of cohorts of swimming lessons:

1. Monday & Wednesday
June 19 & 20
June 26 & 28

2. Saturday
July 1st, 8th,15th, 22nd

3.Monday & Wednesday
July 3rd & 5th
July 10th & 12th

4. Monday & Wednesday
July 17th & 19th
July 24th & 26th

5.Monday & Wednesday
July 31st & August 2nd
August 7th & August 9th

6.Saturday
August 5th, 12th, 19th, 26th

7.Monday & Wednesday
August 14th & 16th
August 21st & 23rd

8. Monday & Wednesday
August 28th & 30th
September 4th & 6th

Preschool - 5:00pm - 5:25pm (Adult required during Preschool swimming class.)
Level One - 5:30pm - 6:00pm
Level Two - 6:00pm - 6:30pm
Adult Swim - 6:30 pm - 7:00 pm

Please check if you would like to attend the Adult swimming class *

Yes

Membership is required to participate in swim lessons. Sign up for free here!

Are you a FOC member? *

Yes No

Please choose the number that you would like to attend *

1 2 3 4 5 6 7 8

Submit

SWIM at for oak cliff

Swim Lesson Sign Up!

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