City of Sundance, Wyoming
             
2018 Swimming Lesson Registration
For more information please call the pool at 307-283-2133
 
 
Session 1:  June 11th - 22nd      Session 2:  June 25th - July 6th     Session 3:  July 16th - July 27th
No lessons on July 4th

Class Times by Level

         Level 1: 11:00 to 11:30        Level 2:  10:45 to 11:15            Level 3: 10:00 to 10:30
      Level 4:  9:15 to 9:45           Level 5:  10:00 to 10:30            Level 6:  9:15 to 9:45
Parent/Toddler Class 10:45-11:15

Session 1 - Level 1 is Full     Session 1 - Level 3 is Full
Session 2 - Level 1 is Full     Session 2 - Level 2 is Full
Session 3 - Level 1 is Full      Session 3 - Level 2 is Full     Session 3 - Level 3 is Full

 
Emergency Contact Name
Emergency Contact Phone
 

 
Swimming Lesson Registration:   $25.00   Quantity:   Item Subtotal:  
$0.00
Participant's Full Name [1]
Session [1]

Participant's Full Name

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Session [2]

Participant's Full Name

[3]
Session [3]

Participant's Full Name

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Session [4]

Participant's Full Name

[5]
Session [5]

Participant's Full Name

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Session [6]

Participant's Full Name

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Session [7]

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Session [8]

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Session [9]

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Water Aerobics will be offered on Tuesdays and Thursdays 5:15-6:00 pm
Aerobics Classes start June 12th and will have 20 classes total
Cost is $3.00 per class or $25 for 10 classes
Participants Full Name for Water Aerobics
Water Aerobics per Class:   $3.00   Quantity:   Item Subtotal:  
$0.00
Water Aerobics (10 Classes):   $25.00   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:
 

Please be aware that payments will reflect on your statement as

CityFee 800-764-0844 Clinton UT
Payment Information
Method of Payment:
Convenience Fees: Credit cards: 3% plus $0.25 ($1.50 min)
                    (+1.5% convenience for foreign cards)
eChecks: $0.49
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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