Session/Time (1st preference):
Session/Time (2nd preference):
Session/Time (3rd preference):
First name
Last name
Swimmer's Name:
Swimmer's
Date of Birth:
Gender:
Has your child taken lessons with CRAA before?
If so, when?
Last name
 First name
Parent Name:
Address 1:
Address 2:
City, St, Zip:
Home Phone:
 Cell Phone:
Work Phone:
 email address:
Comments:
This is a registration request only.  You are not registered until you receive an email confirming your
registration.   Please allow 2 to 3 business days to process your request.   If your 1st preference  
reaches capacity prior to processing your request you will be placed in your 2nd or 3rd preference.  If
all your preferred time slots are full, we will contact you to discuss other possible time slots.  If we do
not have a time slot open that is satisfactory to you, we will refund your paypal payment.