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

Semi-Private Swim Lesson Payment Form

Semi-Private Swim Lesson Payment Form

Please only fill this form out if your semi private swim lesson enrollment has been confirmed by the Aquatics Director.

Semi-Private Lesson Payment Form

Please fill out one form per child if you have multiple children enrolled.
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)
Semi-Private Swim Lesson Payment(Required)
Billing Address(Required)