2024 Swim Lesson Registration – Members – Cedarbrook Swim and Tennis Club

Parent/Guardian Name(Required)

First Last

Email(Required)

Phone(Required)

Name – Swimmer #1(Required)

First Last

Age of Swimmer #1(Required)

Swim Ability Group – Swimmer #1(Required)

Please see the Group Ability Descriptions here: https://cedarbrookclub.org/lessons-programs/swim-lessons/

Product Name

Swimmer #1 Date(s)(Required)

Week I: June 17 – June 20 (10:45a – 11:15a)

Week I: June 17 – June 20 (11:15a – 11:50a)

Week II: June 24 – June 27 (10:45a – 11:15a)

Week II: June 24 – June 27 (11:20a – 11:50a)

Week III: July 1-3 (10:45-11:15)

Week III: July 1-3 (11:20a – 11:50)

Week IV: July 8 -July 11 (10:45a – 11:15a)

Week IV: July 8 – July 11 (11:20a – 11:50a)

If you have multiple swimmers, please add them on the following page!

Swim Lesson Subtotal

$0.00

Online Processing Fee

Price: $0.00

Total

Credit Card(Required)

American Express

Discover

MasterCard

Visa

Card Number

Expiration Date

Security Code Cardholder Name

2024 Swim Lessons – Members