Registration
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Welcome to Summer Swim Lessons at Memorial Park Pool in Chatham, NJ! We’re so excited to join the Chatham community this summer and share our love of swimming, water safety, and building confidence in the water, one smile at a time.
Event:
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Fee per Student:
Room:
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Family Information
First Name:
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Last Name:
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Home Phone:
Cell #:
Work #:
Email:
(Emails are kept confidential)
Address:
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City:
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State:
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Zip:
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Emergency Contact Info (Not Contact #1 or #2)
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Students entered below will be added to your family's account
Add New Student #1:
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Student's First Name:
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Last Name:
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Student Gender:
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Female
Male
Birth Date:
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(format=mm/dd/yyyy)
Swim experience? Yes/No:
Add New Student #2:
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Student's First Name:
*
Last Name:
*
Student Gender:
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Female
Male
Birth Date:
*
(format=mm/dd/yyyy)
Swim experience? Yes/No:
Add New Student #3:
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Student's First Name:
*
Last Name:
*
Student Gender:
*
Female
Male
Birth Date:
*
(format=mm/dd/yyyy)
Swim experience? Yes/No:
Add New Student #4:
(Show-Hide Details)
Student's First Name:
*
Last Name:
*
Student Gender:
*
Female
Male
Birth Date:
*
(format=mm/dd/yyyy)
Swim experience? Yes/No:
Add New Student #5:
(Show-Hide Details)
Student's First Name:
*
Last Name:
*
Student Gender:
*
Female
Male
Birth Date:
*
(format=mm/dd/yyyy)
Swim experience? Yes/No:
Questions/Options:
Lessons are located: Chatham Memorial Park pool. 22 North Passaic Ave, Chatham NJ 07928
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Pay for 6 lessons and get 7 lessons to offset absences due to vacation/sickness/weather. Additional make ups can be scheduled through the parent portal. Make up eligibility requires 24 hour notice.
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Pricing: 30 minute lesson once a week for 7 weeks 7/6/26-8/21/26 Pool members: $168 for 7 week session General public: $210 for 7 week session
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Please give your availability for the summer. The more options you give the better. Lessons are offered Monday - Thursday between 9:00am - 11:00am.
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Is your swimmer currently in swim lessons?
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Yes
No
Can your swimmer put their face in the water comfortably?
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Yes
No
Does your child have swim experience
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Yes
No
Can your swimmer swim underwater? If so, how far?
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Can your swimmer back float independently?
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Yes
No
Is your swimmer working on developing strokes? if so, which ones?
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Can your swimmer tread water for 30 seconds or more?
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Yes
No
Has your swimmer ever had a traumatic event in or around water? If yes, please explain.
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Does your swimmer need adaptive lessons or needs we should be aware of?
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Yes
No
Please tell us about your swimmer(s) so we can best place them in the proper class level. If you are registering more than one swimmer include their swim experience here.
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Additional Information:
Other Questions/Comments:
Credit Card Verification:
Card Number:
Visa
Mastercard
Name as it appears on card:
Nickname:
Card Expiration Month:
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MO
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NH
NJ
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OH
OK
OR
PA
RI
SC
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TN
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Zip:
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