Excel Aquatics Swim School Registration Cages Bend
submit one form for each child

Last Name of Child

First Name of Child

Age of Child

Training Site

Spring Hill

Brentwood

Franklin

Cages Bend

Last Name Contact Parent

First Name Contact Parent

Family Street Address

City and Zip Code

Home Phone

Cell Phone

Email Address

Date of Session

Session Days

Mon, Tues, Wed, Thurs, Friday

Class Level

Beginner 1

Beginner 2

Advanced 1

Enter 1st choice Class Time

Enter 2nd choice class time

Cost of Class

50$

Private Classes can be arranged according to availablity at a cost of 30$ per session. Please contact Coach Lindy at Coach Lindy@Excelaquatics.org if you are interested.

I have read the Policies and Procedures of the Excel Swim School and agree to follow them. I understand that I must also mail payment and a signed release form to secure my spot in a class. Excel Aquatics requires that you submit this online registration form with your class preference and also mail a paper copy of this form in the same envelope with your check and signed release form to the address below. Registrations are accepted on a first come, first served basis and are not complete until the registration form, release form and payment have been received at the following address: Excel Swim School, c/o Lindy Dillehay 955 Brentlawn Drive, gallatin, Tn 37066

Yes

No

Print this Page and mail to Excel Swim School with your signed release form and payment