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REGISTRATION IS CLOSED FOR 2018

Baton Rouge SESSION 2: FULL

Gonzales: FULL

AlexandriaFULL

 

Child Name *
Child Name
Birth Date *
Birth Date
Parent/Guardian Name *
Parent/Guardian Name
Phone *
Phone
Address *
Address
Emergency Contact
Emergency Contact
Emergency Contact #
Emergency Contact #
Does Your Child Receive Free or Reduced Lunch? *
This question is just for us to ensure that every child has a fair opportunity to enroll in our program.
Waiver *
It is my expressed intention to hold Tankproof, Crawfish Aquatics, or City of Gonzales harmless for any and all injuries, death, or damages arising from or in any way related to swimming lessons at any of our sanctioned locations.
Photo Release *
I hereby grant TankProof permission to use for promotional purposes, photographs and video taken of my children or myself during lessons.