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The JCC will be closed Monday, May 31. Happy Memorial Day Weekend!

Group Swim Class Payment Form

Group Swim Class Payment Form

Please only fill this form out if your group swim class enrollment has been confirmed by the Aquatics Director.

Child's Full Name(Required)
MM slash DD slash YYYY
Child’s Birthday
Parent / Guardian's Full Name(Required)
Emergency Contact's Name(Required)
Liability Waiver(Required)
Pool Rules(Required)
Group Swim Lesson Payment(Required)
Billing Address(Required)