Class Registration
Deposit received: date________________ Amount_____________
Parent(s) name: _________________________________________
e-mail _________________________________________________
Phone numbers: (h)_________________________(c)_________________________
Address:_______________________________________________
______________________________________________________
Students:
Name:______________________________ DOB_______________
Name:______________________________ DOB_______________
Name:______________________________ DOB_______________
Please circle the programs you are registering for:
| School Year 2010-2011 | Pre-Summer 2011 | Summer 2011 |
|
|---|---|---|---|
| Location | Microtel in York | Microtel in York | Your pool, Stageneck (Members only), or Pierce Island in Portsmouth |
| Dates | Sept 13, 2010 - April 28, 2011 | May 23, 2011 - June 9, 2011 | July 5, 2011 - Aug. 15, 2011 |
| *class information 1/2 hour classes | Monday AM or PM Tuesday AM or PM Wednesday AM or PM Thursday AM or PM | Mon/Wed AM or PM Tues/Thurs AM or PM | Monday Tuesday Wednesday Thursday Friday |
| Teachers | Ann - M/W/Th Patty - Tuesday | Ann | Ann and Eliza |
| Costs | 1-2 students/class-$690 3-4 students/class-$460 | 1-2 students/class-$180 3-4 students/class-$125 | 1-2 students/class-$175 3-4 students/class-$120 |