Duchesne City Recreation
             
Duchesne City Aquatics Programs

Duchesne City is excited to offer a Red Cross Certified Learn-to-Swim Aquatics program.

Duchesne City is also happy to offer for purchase Swim Passes for Open Swim and Lap Swim.

If you want to tell us what you like about these programs or you have suggestions to help make them even better,
please leave comments in the last section of this form.

Thanks and happy swimming!

Swim Lessons
For Session 2 we will be offering the following classes:
9-9:45 am - Level 1, Level 2, Levels 3-5
10-10:45 am - Preschool, Level 1, Level 2, Parent and Child Aquatics
11-11:45 am - Preschool, Level 2, Levels 3-5

Session 2 will be available to sign up on Friday May 31 - June 12.
Future sessions will be coming soon!


Session 3 - July 9-19 9am to 9:45am:   $50.00   Quantity:   Item Subtotal:  
$0.00
Participants Full Name [1]
Age [1]
What was the last aquatics program level this student completed? [1]
Swim Lesson Level [1]

Participants Full Name

[2]
Age [2]
What was the last aquatics program level this student completed? [2]
Swim Lesson Level [2]

Participants Full Name

[3]
Age [3]
What was the last aquatics program level this student completed? [3]
Swim Lesson Level [3]

Participants Full Name

[4]
Age [4]
What was the last aquatics program level this student completed? [4]
Swim Lesson Level [4]

Participants Full Name

[5]
Age [5]
What was the last aquatics program level this student completed? [5]
Swim Lesson Level [5]

Participants Full Name

[6]
Age [6]
What was the last aquatics program level this student completed? [6]
Swim Lesson Level [6]

Participants Full Name

[7]
Age [7]
What was the last aquatics program level this student completed? [7]
Swim Lesson Level [7]

Participants Full Name

[8]
Age [8]
What was the last aquatics program level this student completed? [8]
Swim Lesson Level [8]

Participants Full Name

[9]
Age [9]
What was the last aquatics program level this student completed? [9]
Swim Lesson Level [9]

Participants Full Name

[10]
Age [10]
What was the last aquatics program level this student completed? [10]
Swim Lesson Level [10]
Session 3 - July 9-19 10am to 10:45am:   $50.00   Quantity:   Item Subtotal:  
$0.00
Participants Full Name [1]
Age [1]
What was the last aquatics program level this student completed? [1]
Swim Lesson Level [1]

Participants Full Name

[2]
Age [2]
What was the last aquatics program level this student completed? [2]
Swim Lesson Level [2]

Participants Full Name

[3]
Age [3]
What was the last aquatics program level this student completed? [3]
Swim Lesson Level [3]

Participants Full Name

[4]
Age [4]
What was the last aquatics program level this student completed? [4]
Swim Lesson Level [4]

Participants Full Name

[5]
Age [5]
What was the last aquatics program level this student completed? [5]
Swim Lesson Level [5]

Participants Full Name

[6]
Age [6]
What was the last aquatics program level this student completed? [6]
Swim Lesson Level [6]

Participants Full Name

[7]
Age [7]
What was the last aquatics program level this student completed? [7]
Swim Lesson Level [7]

Participants Full Name

[8]
Age [8]
What was the last aquatics program level this student completed? [8]
Swim Lesson Level [8]

Participants Full Name

[9]
Age [9]
What was the last aquatics program level this student completed? [9]
Swim Lesson Level [9]

Participants Full Name

[10]
Age [10]
What was the last aquatics program level this student completed? [10]
Swim Lesson Level [10]
Session 3 - July 9-19 11am to 11:45am:   $50.00   Quantity:   Item Subtotal:  
$0.00
Participants Full Name [1]
Age [1]
What was the last aquatics program level this student completed? [1]
Swim Lesson Level [1]

Participants Full Name

[2]
Age [2]
What was the last aquatics program level this student completed? [2]
Swim Lesson Level [2]

Participants Full Name

[3]
Age [3]
What was the last aquatics program level this student completed? [3]
Swim Lesson Level [3]

Participants Full Name

[4]
Age [4]
What was the last aquatics program level this student completed? [4]
Swim Lesson Level [4]

Participants Full Name

[5]
Age [5]
What was the last aquatics program level this student completed? [5]
Swim Lesson Level [5]

Participants Full Name

[6]
Age [6]
What was the last aquatics program level this student completed? [6]
Swim Lesson Level [6]

Participants Full Name

[7]
Age [7]
What was the last aquatics program level this student completed? [7]
Swim Lesson Level [7]

Participants Full Name

[8]
Age [8]
What was the last aquatics program level this student completed? [8]
Swim Lesson Level [8]

Participants Full Name

[9]
Age [9]
What was the last aquatics program level this student completed? [9]
Swim Lesson Level [9]

Participants Full Name

[10]
Age [10]
What was the last aquatics program level this student completed? [10]
Swim Lesson Level [10]

Swim Club
Participants must be able to independently swim the length of the pool in order to join the Swim Club.

Swim Club Session 1: June 3-28, Mon-Wed-Fri, 8 - 8:45 am.
Swim Club Session 1 Jun 3-28 8am to 8:45am:   $75.00   Quantity:   Item Subtotal:  
$0.00
Participants Full Name [1]
Age (as of June 1st) [1]
Last level completed [1]

Participants Full Name

[2]
Age (as of June 1st) [2]
Last level completed [2]

Participants Full Name

[3]
Age (as of June 1st) [3]
Last level completed [3]

Participants Full Name

[4]
Age (as of June 1st) [4]
Last level completed [4]

Participants Full Name

[5]
Age (as of June 1st) [5]
Last level completed [5]

Participants Full Name

[6]
Age (as of June 1st) [6]
Last level completed [6]

Participants Full Name

[7]
Age (as of June 1st) [7]
Last level completed [7]

Participants Full Name

[8]
Age (as of June 1st) [8]
Last level completed [8]

Participants Full Name

[9]
Age (as of June 1st) [9]
Last level completed [9]

Participants Full Name

[10]
Age (as of June 1st) [10]
Last level completed [10]
Swim Club Session 2: July 8 - Aug 2, Mon-Wed-Fri, 8 to 8:45 am, .
Swim Club Session 2 July 8-Aug 2 8am to 8:45am:   $75.00   Quantity:   Item Subtotal:  
$0.00
Participants Full Name [1]
Age (as of June 1st) [1]
Last level completed [1]

Participants Full Name

[2]
Age (as of June 1st) [2]
Last level completed [2]

Participants Full Name

[3]
Age (as of June 1st) [3]
Last level completed [3]

Participants Full Name

[4]
Age (as of June 1st) [4]
Last level completed [4]

Participants Full Name

[5]
Age (as of June 1st) [5]
Last level completed [5]

Participants Full Name

[6]
Age (as of June 1st) [6]
Last level completed [6]

Participants Full Name

[7]
Age (as of June 1st) [7]
Last level completed [7]

Participants Full Name

[8]
Age (as of June 1st) [8]
Last level completed [8]

Participants Full Name

[9]
Age (as of June 1st) [9]
Last level completed [9]

Participants Full Name

[10]
Age (as of June 1st) [10]
Last level completed [10]
Swim Club Double Session Discount - Save $20 for both sessions! June 3 - Aug 2, MWF, 8-8:45 am, except week of July 4th.
Double Session Discount:   $130.00   Quantity:   Item Subtotal:  
$0.00
Participant's full name [1]
Age (as of June 1st) [1]
Last level completed [1]

Participant's full name

[2]
Age (as of June 1st) [2]
Last level completed [2]

Participant's full name

[3]
Age (as of June 1st) [3]
Last level completed [3]

Participant's full name

[4]
Age (as of June 1st) [4]
Last level completed [4]

Participant's full name

[5]
Age (as of June 1st) [5]
Last level completed [5]

Participant's full name

[6]
Age (as of June 1st) [6]
Last level completed [6]

Participant's full name

[7]
Age (as of June 1st) [7]
Last level completed [7]

Participant's full name

[8]
Age (as of June 1st) [8]
Last level completed [8]

Participant's full name

[9]
Age (as of June 1st) [9]
Last level completed [9]

Participant's full name

[10]
Age (as of June 1st) [10]
Last level completed [10]
 
Swim Passes
Swim Passes are available for a variety of activities at the pool and can save $0.50 or $0.60 per swim depending on the pass. 
It's an economic way to treat yourself, family and friends to some healthy fun in the sun.
After purchase, print receipt and present to the pool cashier.
OPEN SWIM PASS: $60 FOR 25 PUNCHES
LAP SWIM PASS: $30 FOR 20 PUNCHES
Open Swim Pass:   $60.00   Quantity:   Item Subtotal:  
$0.00
Lap Swim Pass:   $30.00   Quantity:   Item Subtotal:  
$0.00
Total:
$0.00
Parent/Guardian Information
First Name: Last Name:
Address:
Address:
City: State/Province: ZIP/Postal Code:
Phone: Email:
Comments or suggestions?
Payment Information
Method of Payment:
Update name from Parent/Guardian Information
Name of Individual
on Checking Account:
Name of Individual
on Savings Account:
Name of Business
on Checking Account:
Bank Routing Number:
Bank Account Number:
Credit Card Number:
Expiration Date: /
Card ID (CVV2/CID) Number: What is the Card ID?
Cardholder Information (exactly as it appears on your statement)
  Update from Parent/Guardian Information
Cardholder's Name:
Billing Street:
Billing ZIP/Postal Code:
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