Spring Youth Fitness Swim

For New Participants only. If you have previously been in Kingsbury Club Programming, please log into your club account to register.

Participant Name(*)

Please let us know your name.

Participant DOB(*)

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Parent-Guardian Name(*)

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Cell Phone(*)

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Email(*)

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Street Address(*)

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City(*)

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State(*)

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Zip Code(*)

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Are you a Kingsbury Club Member?(*)

Yes

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Participant can swim freestyle unassisted for multiple lengths of the pool without stopping or needing assistance.(*)

Yes

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Other Comments (special needs, health concerns, etc.)

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I agree to all terms and conditions(*)

Yes

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