Alpena Plaza Pool Swim Class Registration Form

Swim Class Registration
Use form until the Monday noon preceeding class
Parent Name
Telephone
Address
Classes are five weeks long, meeting weekly the price is $40
In the following spaces please indicate the number of children to be registered and then list the names
Number Children Registering

First Child's Name
	Child's Age
	Swimming Level (Explanation)
	Lesson Date
Second Child
	Child's Age
	Swimming Level (Explanation)
	Lesson Date
Third Child
	Child's Age
	Swimming Level (Explanation)
	Lesson Date
Forth Child
	Child's Age
	Swimming Level (Explanation)
	Lesson Date
Fifth Child
	Child's Age
	Swimming Level (Explanation)
	Lesson Date
Use the space below for special information for the Plaza Pool Staff.

Alpena Plaza Pool