Roanoke Office  
Jackson River Office  
Pittsylvania Co Office  
Franklin Co Office  


(Retain this for your records)

WINTER LEARN-TO-SWIM
ENROLLMENT CONFIRMATION

Participant's Name: _____________________________
 
 Pool Location:__________________________________ 

Level: ________________________________________

 Date: _________________________________________

 Time: _________________________________________


Payment: __Cash  __Check  __Credit Card

Amount Paid: ______________________

 


Please remember the following:

*There are no refunds. You may reschedule if space permits
*Be on time.                                                                 
*Be ready to go in the water.                                          
 *Only class participants are allowed in the water.               
*Parent/guardian must be present at all times.     
              
           


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