Jane Whitt Swim School Summer 2013 Enrollment

Student Name:
Address:
City:                                                        State:                         Zip:
Best Phone Number:                                                                                      Birthdate:
 Email:                                       
Parent/Guardian Name:

Choose from the following:      (Mark all that apply)

          ___  Session I    JUNE 3 - 13, 2013 (MTWTh)    

                     __ Morning classes begin between 8 am & 12:15 pm                                       
                     __ Afternoon classes begin between 1:00 and 5:00 pm
                     __ Evening classes begin 5:30 or later

___  Session II    JUNE 17 - 27, 2013  (MTWTh)

__ Morning classes begin between 10 am and 12:15 pm
__ Afternoon classes begin between 1:00 and 5:00 pm
__ Evening classes begin 5:30 or later

___ Session III      JULY  8 - 18, 2013   (MTWTH) 

__ Morning classes begin between 8 am and 12:15 pm
__ Afternoon classes begin between 1:00 and 5:00 pm
__ Evening classes begin 5:30 or later

___ Learn to Swim . . $100 by April 1st. . . $110 after April 1st.                   

      Multiple session discounts available. . . click on "swim school summer" tab.

___ Infant Swim (Session II at 5:30). . $90.00 by April 1st. . .  $100.00 after April 1st    

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 J
Tulsa, OK 74136