2023 Swim Lessons – Non-members Step 1 of 3 33% 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) Group 1: Pre-Beginner Group 2: Beginner Group 3: Advanced Beginner Group 4: Pre-Swimmer Group 5: Swimmer Group 6: Stroke Development & Endurance Please see the Group Ability Descriptions here: https://cedarbrookclub.org/lessons-programs/swim-lessons/Product NameSwimmer #1 Date(s)(Required) Week I: June 19- June 22 (10:45-11:15) Week I: June 19- June 22 (11:20-11:50) Week II: June 26 – June 29 (10:45-11:15) Week II: June 26 – June 29 (11:20-11:50) Week III: July 3, 5, & 6 (10:45-11:15) *No lessons July 4th Week III: July 3, 5, & 6 (11:20-11:50) *No lessons July 4th Week IV: July 10 – July 13 (10:45-11:15) Week IV: July 10 – July 13 (11:20-11:50) If you have multiple swimmers, please add them on the following page! ***If done adding swimmers, please scroll down & click “Next” to proceed to payment***Name – Swimmer #2 First Last Age of Swimmer #2Swim Ability Group – Swimmer #2 Group 1: Pre-Beginner Group 2: Beginner Group 3: Advanced Beginner Group 4: Pre-Swimmer Group 5: Swimmer Group 6: Stroke Development & Endurance Please see the Group Ability Descriptions here: https://cedarbrookclub.org/lessons-programs/swim-lessons/Swimmer #2 Date(s) Week I: June 19- June 22 (10:45-11:15) Week I: June 19- June 22 (11:20-11:50) Week II: June 26 – June 29 (10:45-11:15) Week II: June 26 – June 29 (11:20-11:50) Week III: July 3, 5, & 6 (10:45-11:15) *No lessons July 4th Week III: July 3, 5, & 6 (11:20-11:50) *No lessons July 4th Week IV: July 10 – July 13 (10:45-11:15) Week IV: July 10 – July 13 (11:20-11:50) Name – Swimmer #3 First Last Age of Swimmer #3Swim Ability Group – Swimmer #3 Group 1: Pre-Beginner Group 2: Beginner Group 3: Advanced Beginner Group 4: Pre-Swimmer Group 5: Swimmer Group 6: Stroke Development & Endurance Please see the Group Ability Descriptions here: https://cedarbrookclub.org/lessons-programs/swim-lessons/Swimmer #3 Date(s) Week I: June 19- June 22 (10:45-11:15) Week I: June 19- June 22 (11:20-11:50) Week II: June 26 – June 29 (10:45-11:15) Week II: June 26 – June 29 (11:20-11:50) Week III: July 3, 5, & 6 (10:45-11:15) *No lessons July 4th Week III: July 3, 5, & 6 (11:20-11:50) *No lessons July 4th Week IV: July 10 – July 13 (10:45-11:15) Week IV: July 10 – July 13 (11:20-11:50) Click “Next” to proceed to payment! If you have more than 3 swimmers to register, you will have to submit this form again after registering your first 3. Swim Lesson Subtotal $0.00 Online Processing Fee Price: $0.00 Total Credit Card(Required) American ExpressDiscoverMasterCardVisaSupported Credit Cards: American Express, Discover, MasterCard, Visa Card Number Expiration Date Month Month010203040506070809101112 Year Year20232024202520262027202820292030203120322033203420352036203720382039204020412042 Security Code Cardholder Name