Kettles Swimming and Sailing Club

2005 Registration Form - Swimming

 

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