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Infant & Young Children
Infant & Young Children Schedule
Register
Children
Basketball Court
Swim Lessons Registration
After School Schedule
Register
Teens
JCC Maccabi
Me'ever Youth Movement
Basketball Court
Teen Schedule
Adults
Events
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Events
Basketball Court
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Aquatics, Fitness + Sports
Basketball Court
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Swim Lessons Registration
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Calendar
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Swim Lesson Questionnaire
Swim Lesson Questionnaire
Please fill out the form below to share more about your swimmer so that we can make their experience in our swim program positive, supportive, and fun!
Swimmer's First & Last Name
(Required)
First
Last
Swimmer's Birthdate
(Required)
MM slash DD slash YYYY
Emergency Contact First & Last Name
(Required)
First
Last
Emergency Contact Phone Number
(Required)
Tell us about your child's previous swim experience:
(Required)
What are your goals for your child's swim lessons?
(Required)
Is your child toilet-trained?
(Required)
Yes
No
Does your child have any medical needs that we should know about?
(Required)
Please provide the name of the person who will be accompanying your child(ren) to swim lessons:
(Required)