Summer 2017 Youth Swimming Lessons
Registration Form
  
  

Participant Information:

  






Gender

Parent/Guardian Information
  







 
















 
In an emergency, if you cannot be reached, who should be contacted?
  







Relationship:
     



 
Please choose Site:


Please list any medical conditions we should be aware of (allergies, asthma, diabetic, etc.) or medications your child is taking:



Swim Lessons are held Saturdays and Sundays 12:00pm -12:45pm on a first come first serve basis. Lessons will be held and scheduled at each individual site. Your child’s attendance is required for the entire session to complete and receive course completion certificates. Please choose a session with the aquatics staff at each particular location. Thank you and we look forward to seeing you this summer.

       
       


550 Main Street, Room 305
Hartford, Connecticut 06103
  
Website: dfcyr.hartford.gov