Kettles
Swimming and Sailing Club

Family Name: _______________________________________________________________
Child’s
Name Date of Birth Health Card Number
|
1. |
|
|
|
2. |
|
|
|
3. |
|
|
|
4. |
|
|
Home
Address: ____________________________________________________ Cottage
Phone: Cell Phone:____________________
Emergency Phone:____________________ E-Mail:________________________
Session
1: Monday, July 4 - Friday, July 29
Session
2: Monday, August - Friday, August 26
Monday,
Wednesday & Friday - 1:15pm to 1:45pm
- AquaQuest 1 & 2
Monday,
Wednesday & Friday - 1:00pm to 1:45pm
- AquaQuest 5 & 6
Monday,
Wednesday & Friday - 1:45pm to 2:30pm
- AquaQuest 3, 4, 7 & 8
Monday,
Wednesday & Friday - 2:15pm to 3:00pm
- AquaQuest 9 & 10
Monday,
Wednesday & Friday - 2:30pm to 3:15pm
- AquaQuest 11 & 12
Monday, Wednesday & Friday - 3:00pm to 4:00pm - Bronze Medallion & Cross
|
Level |
Week |
Session |
Season |
|
Swimming Level 1-4 |
$20 |
$65 |
$110 |
|
Swimming Level 5-12 |
$25 |
$75 |
$130 |
|
Bronze and Bronze Cross |
$25 |
$75 |
$150 (exam included) |
*
participants who are not members of the Kettles
Association will be charged a fee of $10.00 per week
Child=s
Name
Level Session
/ Weeks Fee
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|