Swim Programs - Summer 2019

LESSONS FOR NEW & NON-SWIMMERS

Dates: Tuesdays - beginning June 18, 2019 (8 weeks)
Time: 1 pm, 3 pm or 5 pm
Instructor: Michelle Pruitt
Cost: $65 (8 lessons) — REGISTRATION REQUIRED

Limited to six swimmers per session.

2019 Swim Lessons

Child's Name

First Name

Last Name

Child's Age

Child's Swimming Level

Parent's Name

First Name

Last Name

Phone

(###)

###

####

SCHOOL SWIM SURVEY
This information is solely being used to develop an ongoing swim program for our community at CAMP SELAH in Sutherlin, Va. Your personal information will not be shared with any other source.

COMPLETE THE SCHOOL SWIM SURVEY

SCHOOL SWIM SURVEY

This information is solely being used to develop an ongoing swim program for our community at CAMP SELAH located in Sutherlin, Va. Your personal information will not be shared with any other source.

Child's Name

First Name

Last Name

School

Date of Birth

YYYY

Grade in Fall 2019

Child's Swimming Level

Non-swimmer

Very new beginning swimmer

Good swimmer

CONTACT INFORMATION

Parent/Guardian Name

First Name

Last Name

Preferred Method of Contact

Please be sure to provide your specific contact info below (email or phone number to text or call).

Text

Phone Call

Phone (for call)

(###)

###

####

Mobile phone (for text)

(###)

###

####

Additional insights/questions:

OPEN SWIMS

Children & Families: Saturdays & Sundays, 1 pm - 6 pm
Preregister by noon on the same day via email, text, or phone message using the contact info below.
Donation gladly received, but not required.

email admin@campselahministries.com
text (804) 357-1187
phone (434) 822-5628

Elder Swims: Monday - Friday, 7 am - noon
No lifeguard on duty. Preregistration not required.
Donation gladly received, but not required.