11 Park Lake Road
Sparta, NJ 07871
Phone: 973-383-2213
Fax: 973-383-5915
YMCA Swim Lessons Registration

KEEP – White Lake Beach Club – REGISTRATION FORM 2017

The purpose of the YMCA Swim Lessons is to develop competency in swimming skills, along with self confidence. Our certified instructors are experienced at working with children of all ages & abilities. They will help your child develop a sense of security in and around the water and gain the skills necessary for one of life’s most wonderful activities-swimming! Please note: Minimum of 3 registered participants per class is required for classes to run.


Lessons on Mondays & Wednesday

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Two- 30 minute classes each session –Special KEEP Fee: $10/per individual for 2-two 1/2 swim lessons

Swim Class Level (*)

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Participant(s) Name (*)

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Age (*)

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Birthdate (*)

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Parent/Guardian (*)

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Address (Full) (*)

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Home Phone (123456789) (*)

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Work Phone (123456789) (*)

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Email Address (*)

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Please note: pre-registration and payment is required for all classes.
Class size is limited, please register early.

Submit payment to K.E.E.P., Inc. office. Please make check payable to K.E.E.P., Inc.

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