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Student Name: |
Age: |
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| Address: |
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State
Zip |
| Telephone Number: |
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| Email Address: |
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| Emergency Contact Number: |
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Class Choices |
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Downata
Private Swim Lesson |
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Parent/Child (age 6 months- 3
years) |
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Downata
Small Group Swim Lesson: |
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Mom &
Tot Learning Session (no instructor) |
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Downata Semi-Private Lesson
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Lifeguard Course/CPR Course |
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Regular Group |
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Guard Start/Swim Club |
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Preschool Aquatics (age 4&5) |
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Swim Lesson Sessions |
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June 14th-17th
** Regular Group & Pre-school Aquatics/ Preschool
Aquatics/Parent Child |
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June 21st - 24th- **Small Group,
Semi, Private |
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June 28th - July 1st **Small Group,
Semi, Private |
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July 5th - 8th - **Small Group,
Semi, Private |
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July 12th - 14th - Regular Group & Preschool Aquatics/ Parent Child |
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July 19th - 22nd **Small Group,
Semi, Private |
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Class Time Requested. 9:30 am
10:30 am
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Regular Group & Pre-school
Aquatics Class Time: 9:30 am & 10:30 Monday thru Thursday -
4 classes. Pre-school classes are only 30
minutes long but only 3 in a group. Parent Child
only 30 minutes long. |
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Preferred Instructor: |
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*Preferred Instructor not
guaranteed. |
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Consent Form: Please
click on link, print, sign and bring to the first
day of class. |
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I
have read the Consent form and agree with the terms. |
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Total charges:
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(See rates below) |
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You may
e-mail your credit card information to
info@downatahotsprings.com, call
with a credit card payment,
Pay Pal or mail us a check payable to Downata Hot Springs
at
Downata Hot Springs, P.O. Box 185, Downata Road, Downey, Idaho
83234 ●
(208) 897-5736 |
