Cedarbrook Swim & Tennis Club

CEDARBROOK SWIM LESSONS

2010 SIGN UP FORM (click here to download this form)

(fill out one per child)

Cedarbook’s swim lessons are geared for children ages 3 years and older who are potty trained.
Each group is divided into specific skill levels. Click here to see class outline based on skill level.
The goal is for each child to master the required skill at one level before moving to the next level.
Swim lessons are $80 per session.
Please make checks payable to Cedarbrook Club and mail to: “Swim Lessons”, PO Box 111, Kensington, MD 20895 or drop off in the “Swim Lessons” envelope located in the guard house.

Child Name:________________________________ Age:________

Parent Name:_________________________________________________
Address:______________________________________________________
Phone:_______________________               E-mail:___________________________

Please check what your child is able to do now:

Puts face in water___         Blows bubbles___         Comfortable in the pool ___         Floats on stomach ___

Doggy paddles   ___         Floats on back ___         Comfortable in deep water ___         Treads water ___

Swims with face in water ___         Swims beginner freestyle ___         Swims on back ___

Bobs off the bottom of the pool ___         Dives under water ___         Swims freestyle ___         Swims backstroke___

Swims breaststroke ___    Is on the swim team?   ___         Is on the pre-team (Kiddie Hawks)?_____

PLEASE CHECK WHICH SESSION(S) YOU WANT TO SIGN UP FOR:
(Note: Classes run Monday-Thursday)
______            SESSION I:                June 21 – July 1
______            SESSION II:              July 5 - July 15
WHICH TIME SLOT DO YOU PREFER?
[Please mark first (1) AND second (2) choice]
_____10:45A - 11:15A           _____11:20A - 11:50A
______ Please check here if you are signing up for morning tennis lessons to coincide with your swim lessons.