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American Red Cross Learn-to-Swim Lesson Registration

All classes must have at least 2 students to be held. All participants must be signed up the Tuesday prior to the start of the block. Payment may be made on the first day of the lesson. No refunds are given once payment is made.  If you have any questions please email Robin Harden at rlharden@kirksvillecity.com

 
All Fields are REQUIRED. An email confirmation will be sent once your registration is received.

Please supply the following information: 

 Swimmer's Name:

 

 Age:

 

Daytime Phone Number:

  

Evening Phone Number:

  

Email:

 

Last Stage Passed:

 

Stage Signing Up For:

  
  

Please select which session you are registering for.

 

 

 Children's Swim Lessons

Adult Fitness Swimming 

Monday & Wednesday: 5:30pm - 6:15pm

Saturday: 11am - 12pm

Stages1-4

 

     January 23-February 8

     January 23-February 8

     March 12-March 28

     March 12-March 28

     April 16-May 2

     April 16-May 2

Please use the space below to supply additional information:

 

 


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