SWIM LESSONS $50

JULY 6-16, 2026 (MONDAY - THURSDAY)

Parent & Child and PreSchool Levels - 6:00-6:30pm
Regular Levels 1-5 - 6:45-7:30pm

CLASS AVAILABILITY IS LIMITED, FIRST COME FIRST SERVE. ALL REGISTRATIONS MUST BE PAID BEFORE PARTICIPANTS WILL BE ENTERED INTO A CLASS. WHEN CLASSES ARE FULL, UNPAID REGISTRATIONS WILL NO LONGER BE HONORED.

PRIVATE LESSON REGISTRATIONS MUST BE MADE IN THE PARK OFFICE

PARTICIPANT'S NAME PARTICIPANT'S NAME First Last
BIRTHDATE BIRTHDATE / MM / DD YYYY
AGE
SEX

SEX MALE FEMALE
MEDICAL CONDITION

PLEASE NOTE ANY CONDITIONS THAT INSTRUCTORS NEED TO BE AWARE OF BEFORE LESSONS BEGIN. ALL PARTICIPANTS MUST BE ABLE TO ENDURE A CLASSROOM SETTING WITHOUT DISRUPTION.
SELECT A LEVEL:

SELECT A LEVEL: PARENT & CHILD PRE-SCHOOL LEVEL 1 PRE-SCHOOL LEVEL 2 PRE-SCHOOL LEVEL 3 REGULAR LEVEL 1 REGULAR LEVEL 2 REGULAR LEVEL 3 REGULAR LEVEL 4 REGULAR LEVEL 5 REGULAR LEVEL 6

INSTRUCTORS RESERVE THE RIGHT TO PLACE PARTICIPANTS IN THE LEVEL THAT BEST FITS THEIR CAPABILITIES BASED ON THE AMERICAN RED CROSS LEARN TO SWIM EXIT LEVELS ASSESSMENT.
PARENT/GUARDIAN PARENT/GUARDIAN First Last
PHONE PHONE - ### - ### ####
RELATIONSHIP TO PARTICIPANT
ADDRESS ADDRESS
Street Address Address Line 2 City State / Province / Region Postal / Zip Code Country
EMAIL ADDRESS
REGISTRATION CONFIRMATION
You will receive a email confirmation stating DPR received your registration form. If you do not receive confirmation of registration please contact the park office 573-624-8244, it is your responsibility to confirm receipt of registration form. If DPR does not receive your registration and you do not have proof of registration (screen shot or email) your registration will not be accepted.
PAYMENT OPTIONS

PAYMENT OPTIONS Pay Online Pay in Park Office Payment left in drop box

All registration forms and payment must be received before you will be put into a class. Registrations not paid will not be entered into classes.
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