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Swim Lessons
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Registration is complete when the student registration and emergency medical forms are received.
Student Information
First Name
Last Name
Home Phone Number
Cell Phone Number
Would you like to receive text messages from Shawnee State University?
Would you like to receive text messages from Shawnee State University?
Yes
No
Grade completed prior to June
Pre-K
Kindergarten
1st Grade
2nd Grade
3rd Grade
4th Grade
5th Grade
6th Grade
7th Grade
8th Grade
9th Grade
10th Grade
11th Grade
12th Grade
School District
Birthdate
Birthdate
January
February
March
April
May
June
July
August
September
October
November
December
1
2
3
4
5
6
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9
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31
2024
2023
2022
2021
2020
2019
2018
2017
2016
2015
2014
2013
2012
2011
2010
2009
2008
2007
2006
2005
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1916
1915
1914
1913
1912
1911
1910
1909
1908
1907
1906
1905
1904
1903
1902
1901
1900
Mailing Address
Mailing Address
Country
Street
City
Region
Postal Code
Email Address
T-Shirt Size
Youth Small
Youth Medium
Youth Large
Youth Extra Large
Adult Small
Adult Medium
Adult Large
XLarge
2XLarge
Sex
Female
Male
Other
Parent Information
Parent First Name
Parent Last Name
Parent Email
Swim Lessons
Which type of lesson(s) are you interested in?
Which type of lesson(s) are you interested in?
Group Lessons
Private Lessons
Group lessons Information
4 week periods
Starting October 21st 2024
M-W-F | 6PM-7PM
$100 (per child)
2-3 groups
Beginner group – 3-5 years
Intermediate group – 6-8 years
Advanced group (if applicable) – 9 & up
Private Lessons Information
30 minutes or 1 hour lessons
30 minutes - $45
1 hour - $65 for non-members
Group Lessons
Group Type
Group Type
Beginner group – 3-5 years
Intermediate group – 6-8 years
Advanced group (if applicable) – 9 & up
Private Lessons
Lesson Length
Lesson Length
30 Minutes
1 Hour
Form Uploads
Please download and fill out the following release forms.
Once they are filled out, upload them in the fields below.
To download Emergency Medical and Release form click
here
!
To download Parental Consent and Release form click
here
!
To download
Camps/Lessons/Trainings & Clinic Release and Consent Form click
here
!
Emergency Medical and Release Form
Parental Consent and Release Form
Camps/Lessons/Trainings & Clinic Release and Consent Form
Submit