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http://e-clubhouse.org/userfiles/20776/file/RED%20CROSS%20SWIMMING%20LESSONS4.doc

           

                           RED CROSS SWIMMING LESSONS

                     The Magnetawan Lions Club will once again be offering  free   

                     Swimming lessons for children this, our 52th,  consecutive    summer.                                                                               

 Location:           Magnetawan Beach

Dates:               Monday July22nd.  to Friday, August 9th., 2019.

Times:               T.B.A. for various levels

Contact;           Lion Cliff Cookman 705-783-0759,  ckcookman@gmail.com

                                     REGISTRATION

If you wish to register your child for swimming lessons, please do one of the following;

A: Complete this page and return to: Lion Cliff Cookman, RR#2, 1193 Rodeo Road

     OR                                                                                Burks Falls, Ontario, P0A 1C0

 B. Register at the Magnetawan Beach, Saturday July20th, 10:00 A.M. to Noon.

REGISTRATION:Please print to complete all sections

https://e-clubhouse.org/userfiles/20776/file/IMG_4408%20lions%20swim%202020(1).pdf

  Note:  Lessons are for children  aged FOUR and up.

  1. Last Name -  
  2. First Name -  
  3. Age - 
  4. First time for swim lessons? Yes/No, last level completed -
  5. Please advise re: medical information, we should know about; eg.allergies,                          

Pre-existing medical/mental conditions, on the back of this page.

  1. Emergency contact person’s Name  - 
  2.  Phone  -  
  3. Parent or Guardian information. Name - 
  4. Phone -  
  5.  Address -  

Relationship; Parent or Guardian (Please circle appropriate choice)

A parent or guardian must be present during the child’s scheduled swim time.

Parents/Guardians are responsible for their children at ANY time that they are not in lessons.

Signature and Date - 

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