Youth Group Swim Lessons

Interest Request Form

Sharpen your child's swimming and water safety skills! Our small group ratio allows children to practice social distance with personal protective equipment.

Group Sessions
$200 for 8 Class Session

Select your preferred day and time, and we'll contact you to get everything set up! PLEASE NOTE THAT THIS IS A REQUEST FOR ENROLLMENT/INFORMATION, NOT A CLASS REGISTRATION.

Swim lessons spots are limited. Please submit your interest request form as soon as possible to guarantee enrollment. In order to adhere to our safety precautions, lessons will only be available to those children participating in a Mandel JCC childcare program.

If you have any questions, please email SofiaM@JCConline.com or call 561-712-5274.

JSwim Policies and Procedures

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Your Information

Email*

First Name*

Last Name*

Address*

City*

State*

ZIP Code*

Phone*

Second Phone

Date of Birth (of parent registering child)

Child 1 Name

Child 1 Age

What is your child's swimming experience?

Monday Swim Lessons

Tuesday Swim Lessons

Wednesday Swim Lessons

Thursday Swim Lessons

Friday Swim Lessons

Sunday Swim Lessons

Select Your Swim Lesson Session

The following people are authorized to pick up my child (If parent or guardian are unavailable. Maximum of 3):

Comment / Other Notes

Check this box to agree to the JSwim Policies and Procedures listed above.*

* Required information

Youth Group Swim Lessons

Interest Request Form

JSwim Policies and Procedures

Your Information

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