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Swimming Registration Form

Register up to three kids in the same family

Student's name
    Male   Female     Age

Course
     Location: Brooklyn     Queens

Saturday     Sunday     Tuesday     Wednesday     Thursday     Friday    

Desired time
     Session


2nd student's name
    Male   Female     Age

Course
     Location: Brooklyn     Queens

Saturday     Sunday     Tuesday     Wednesday     Thursday     Friday    

Desired time
     Session


3rd student's name
    Male   Female     Age

Course
     Location: Brooklyn     Queens

Saturday     Sunday     Tuesday     Wednesday     Thursday     Friday    

Desired time
     Session


Parent's name (required)


Street Address


City


State


Zip code


Parent's email (required)


Primary phone (required)


Work phone


Secondary phone


Emergency contact


Relationship


Phone


Please print this page
Please print a copy of this form for your records before pressing the "submit" button.


Camp Olympia swimming sessions are 8 weeks long.
Payments are due every 8 weeks

Fees
See the Sessions page for the cost of the session you are signing up for.

All fees are payable to Camp Olympia 7304 5th Ave, # 271 Brooklyn, NY 11209
Note: please write the applicant's LAST, FIRST names on all material sent to us, including the check.