Swim Lessons Registration

Parent(s) Name(s)*

Email Address*

Contact Number*

Do you receive Text at this number? Only used for notifications, ie inclement weather*

YesNo

Swimmer's Name*

Swimmer's Gender*

MaleFemale

Swimmer's Birthday*

Please Select your Preferred Days*

Monday / WednesdayTuesday / Thursday

Please Select your Preferred Session*

Session 1 $35Session 2 $35Session 3 $35Session 4 $35

There is a $10 registration fee,

per Swimmer, due on first day of lessons.

This can be paid in person with cash or check.

Make check payable to Capital City Athletics.

Session Fee is also due on the first day of lessons.

We occasionally take pictures of the kids in action swimming

or doing other activities for our Facebook Page.

We hope to use these to keep parents and the community

up to date on the happenings at the Capital City Athletics.

Please click yes if you WILL give permission to have photographs of your child taken*

YesNo

How did you find us?*

If you were referred by a friend please let us know who, so we can thank them!

Capital City Athletics - Swimming Lessons