Para-Swimming Registration

Children with a physical disability * need to be water safe with a basic set of swimming skills. Swimmers, when possible, are integrated into the able bodied program within the club. 

* Functional disabilities - Amputees/Dysmelia; cerebral palsy/head injury; spinal cord injury/polio; dwarfism; major joint restrictions, coordination restriction, limb paralysis/weakness; Visual disabilities - Blind; visually impaired

Our office will contact you to confirm pricing and availability once the pre-registration form is received.
Generally we offer once a week or twice a week lessons for 45mins each lesson.  $80 - $130 for 4 weeks.
Saturday morning class may be available.

Swimmer:

First   Last

Swim Level:

Beginner, Intermediate, Advanced

Disability:

Birthdate: mm/dd/yy

Gender: M/F

Address:

Postal Code:

Phone Number:

Cell Number:

Email:

Parent / Guardian:

Comments: