Jane Whitt Swim School Summer 2011 Enrollment
| Student Name: |
| Address: |
| City: State: Zip: |
| Daytime Phone: Evening Phone: |
| Birthdate: Email: |
| Parent/Guardian Name: |
Choose from the following: (Mark all that apply)
___ Session I TBA (MTWTh)
__ Morning classes begin between 8am & 12pm __ Afternoon classes begin between 12:15 and 5:30 pm __ Evening classes begin 5:30 or later
___ Session II TBA (MTWTh)
__ Morning classes begin between 8 am and 12:30 pm__ Afternoon classes begin between 12:15 and 5:30 pm__ Evening classes begin 5:30 or later
___ Session III TBA
__ Morning classes begin between 8 am and 12:30 pm__ Afternoon classes begin between 12:15 and 5:00 pm__ Evening classes begin 5:30 or later
___ Learn to Swim $85.00 by April 1st. . . $95.00 after April 1st Available all sessions
___ Infant Swim $80.00 by April 1st. . . $90.00 after April 1st Call for dates and times
Previous Experience: __ No formal lessons. __ Formal lessons - Level completed_____
Attach payment for full amount and mail to:
Jane Whitt Swim School 7030 South Lewis, Suite JTulsa, OK 74136
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