East Haddam Park & Recreation
SWIMMING LESSONS 2008
Registration Form

Child's Name: ____________________ Age: ____ Parents/Guardian: ______________________________

Mailing Address: _____________________________ Home Phone: ______________________________

There is a maximum of 8 children per class and a minimum of 5 children per class.

All classes will be held on Mondays and Wednesdays. Class is only cancelled when there is a steady rain or thunderstorms threaten. These classes are American Red Cross Swimming lessons, taught by certified Red Cross instructors/lifeguards. Fees are $40 per child, you will receive a Red Cross card upon successful completion of the class. Swimming lessons are open to East Haddam residents only. Class openings will be made available to non- residents after June 11 (session 1), and July 3 (session 2).

Please circle which classes you would like to attend.

LEVEL 1 (RECOMMENDED minimum age 3 years old)-Each class will be 30 minutes

Please register my child for Session 1 (June 30- July 16) 12:45 & 1:30

 Session 2 (July 21-Aug.6) 1:30

LEVEL 2 (Must have previously taken and passed Level 1)-Each class will be 30 minutes

Please register my child for Session 1 (June 30 - July 16) 11:15

 Session 2 (July 21- Aug. 6)  11:15 & 2:15

LEVEL 3 (Must have previously taken and passed Level 2)-Each class will be 30 minutes

Please register my child for Session 1 (June 30 - July 16)   2:15

 Session 2 (July 21-Aug. 6)  12:45

PARENT/GUARDIAN MUST REMAIN ON PREMISES DURING LESSONS.

I assume responsibility for any medical coverage for any injury that may occur during swimming lessons.

Signature of parent/guardian ________________________________________________ Date _________

Cost $40 per child, per session
Checks Payable to: Town of East Haddam
Mail To: P.O. Box K, East Haddam, CT 06423