Wildkit Swimming - Learn to Swim

Learn More
Location
Register
Contact

Schedule
Location
Register
Contact

Lea Maurer Stroke Clinic

Instructions

Enter all billing information for the parent/guardian who will be making the payment.
Enter players First Name, Middle Initial, Last Name and Birthdate
Select Yes or No to Are you a current WSO member? If you are $25 will be subtracted from your cost.
If you have more than 3 players you must fill out 2 forms
You must be a member of USA Swimming.
When you are finished entering information click on the Green Submit button.
Cost is $75.

Billing Information

First Name

Last Name

Address

City

State

Zip

Email

Phone

Swimmer 1

First Name

Middle Initial

Last Name

Birthdate

Yr in School

Gender Male Female

Are you a current WSO member?Yes No

Select Session(s)

Swimmer 2

First Name

Middle Initial

Last Name

Birthdate

Yr in School

Gender Male Female

Are you a current WSO member?Yes No

Select Session(s)

Swimmer 3

First Name

Middle Initial

Last Name

Birthdate

Yr in School

Gender Male Female

Are you a current WSO member?Yes No

Select Session(s)