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~ADVENTURE SWIM SCHOOL~
2010 Class Registration

 

REGISTRATION FORM - 2010 for ADVENTURE SWIM SCHOOL

CLASS FEES: $129.00 for five (45 minute) lessons Family discount: $10.00 off each additional child from the same family

Classes fill up quickly, so register in any of these ways TODAY!

Phone:  Call (865) 691-2525. FAX:  Fill out this form and print it. Then FAX it to (865) 539-4769. Drop By:  Fill out this form and print it. Then drop it off at the pool office 24 hours/day. NOTE:  Cash payments must be submitted to a staff member at the pool. Be sure to SAVE your receipt. US Mail:  Fill out this form and print it. Then send it along with your check or money order to pool office.

Pool Office Address: 1332 Scotsbury Circle, Knoxville, TN 37919

ATTENTION: To prevent over enrollment, the registration process is NOT complete until you receive a message of confirmation. If you don't receive this message within 48 hours, please call (865) 691-2525 or email Mr. Ed at scubaguru@yahoo.com  Most confirmations will take less than 48 hours.

Registration Information

NOTICE: Class fees must be received within 48 hours to hold your place in class.

Parent or Adult Student Information:

First Name*:  MI: Last Name*: 
Address 1*:   
Address 2:    
City*:             State*:   AL AK AZ AR CA CO CT DE FL GA HI ID IL IN IA KS KY LA ME MD MA MI MN MS MO MT NE NV NH NJ NM NY NC ND OH OK OR PA RI SC SD TN TX UT VT VA WA WV WI WY  Zip Code*:

Email Address*:   
Daytime Phone*: 
Evening Phone*:  
Cell Phone:         

Student & Session Information

	First Name*	Last Name*	Date of Birth*	Session/Class*
1:			-- Jan Feb Mar Apr May Jun Jul Aug Sep Oct Nov Dec -- 01 02 03 04 05 06 07 08 09 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 26 27 28 29 30 31 ---- 2005 2004 2003 2002 2001 2000 1999 1998 1997 1996 1995 1994 1993 1992 1991 1990 1989 1988 1987 1986 1985 1984 1983 1982 1981 1980 1979 1978 1977 1976 1975 1974 1973 1972 1971 1970 1969 1968 1967 1966 1965 1964 1963 1962 1961 1960 1959 1958 1957 1956 1955 1954 1953 1952 1951 1950 1949 1948 1947 1946 1945 1944 1943 1942 1941 1940 1939 1938 1937 1936 1935 1934 1933 1932 1931 1930 1929 1928 1927 1926 1925 1924 1923 1922 1921 1920	-Select session- Spring Camp Spring Summer
2:			-- Jan Feb Mar Apr May Jun Jul Aug Sep Oct Nov Dec -- 01 02 03 04 05 06 07 08 09 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 26 27 28 29 30 31 ---- 2005 2004 2003 2002 2001 2000 1999 1998 1997 1996 1995 1994 1993 1992 1991 1990 1989 1988 1987 1986 1985 1984 1983 1982 1981 1980 1979 1978 1977 1976 1975 1974 1973 1972 1971 1970 1969 1968 1967 1966 1965 1964 1963 1962 1961 1960 1959 1958 1957 1956 1955 1954 1953 1952 1951 1950 1949 1948 1947 1946 1945 1944 1943 1942 1941 1940 1939 1938 1937 1936 1935 1934 1933 1932 1931 1930 1929 1928 1927 1926 1925 1924 1923 1922 1921 1920	-Select session- Spring A&amp:B Summer Fall
3:			-- Jan Feb Mar Apr May Jun Jul Aug Sep Oct Nov Dec -- 01 02 03 04 05 06 07 08 09 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 26 27 28 29 30 31 ---- 2005 2004 2003 2002 2001 2000 1999 1998 1997 1996 1995 1994 1993 1992 1991 1990 1989 1988 1987 1986 1985 1984 1983 1982 1981 1980 1979 1978 1977 1976 1975 1974 1973 1972 1971 1970 1969 1968 1967 1966 1965 1964 1963 1962 1961 1960 1959 1958 1957 1956 1955 1954 1953 1952 1951 1950 1949 1948 1947 1946 1945 1944 1943 1942 1941 1940 1939 1938 1937 1936 1935 1934 1933 1932 1931 1930 1929 1928 1927 1926 1925 1924 1923 1922 1921 1920	-Select session- Spring A&amp:B Summer Fall

 

 

 

 

 

 

 

Check or Money Order payable to Mr. Ed's Swim School may be delivered to pool drop box or mailed in. CASH - Call to make arrangements, please get a receipt.

NOTICE: Class fees must be received within 48 hours to hold your place in class. If payment is not received within 48 hours your registration may be invalid.

By signing below, you agree to the Payment of Fees terms:

Additional Comments:

 

 

 

Copyright ©1996-2010 Adventure Swim School - Knoxville, TN  (865) 691-2525