AMERICAN RED CROSS OF NORTHWEST ALABAMA
SUMMER SWIM PROGRAM 2008

REGISTRATION BEGINS MONDAY, June 2nd.   

The American Red Cross of Northwest Alabama and Florence Parks and Recreation are teaming up to provide the best swim instruction in the Shoals area.  Classes will be taught at the Handy Pool located at 1105 Beale Street in Florence.  American Red Cross certified instructors present the latest teaching techniques, improving your child’s opportunity to learn the skills they need.  Successful completion of classes will lead to certification of the swimmer in the appropriate level.  

REGISTRATION INSTRUCTIONS
1.   Complete a separate form for each participant.  Circle class or classes taking.
2.   Choose the class level to meet the ability of the participant. 
3.   Fill in the participant information.  Please note any medical conditions that the instructor should be aware of.
4.   Bring completed form and NON-REFUNDABLE payment (cash or check) of $30 to the American Red Cross of Northwest Alabama office at 318 S. Court St. in Florence, or send payment and completed form to PO Box 218, Florence, AL  35631. Additionally we can take phone registrations with a Visa or Master Card.  Office Hours are Monday through Friday from 8:30 a.m., to 4:30 p.m. 

DURING INCLEMENT WEATHER CONDITIONS, INDOOR EDUCATIONAL ACTIVITIES WILL BE PROVIDED.  CLASSES ARE HELD FOR ONE-WEEK, MONDAY THROUGH FRIDAY (expect where noted).

 PARTICIPANT INFORMATION (Please Print)

NAME:____________________________________________________ AGE:________SEX:________

MAILING ADDRESS:______________________________________DAY TIME PHONE:___________________

CONTACT NAME:______________________________ MEDICAL CONDITIONS:__________________________

PARENT/GUARDIAN SIGNATURE:___________________________________________________________