Y Semi-Private Swim Registration

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YMCA Member
Non-Member

Member Registration Options*

3 Lessons ($100.00)
5 Lessons ($150.00)
7 Lessons ($215.00)
9 Lesson ($280.00)

Non Member Registration Options*

3 Lessons ($120.00)
5 Lessons ($180.00)
7 Lessons ($265.00)
9 Lessons ($330.00)

Today's Date*

Student #1

Student's Name*

Email*

Phone Number*

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Address*

Parent's Name*

Student #2

Student's Name*

Email*

Phone Number*

Yes, it's okay to send me text messages including order confirmations, updates, event reminders, and event information. Message frequency varies. Message and data rates may apply. Reply HELP for help, STOP to cancel. View our terms of service & privacy policy.

Address*

Parent's Name*

Running Total

$0.00

Total

$0.00

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