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Get PA Sebco Pool Private Swim Lesson Registration 2019-2024

_____ City, State & Zip: ______________________________ Phone number: __________________________ Emergency contact cell phone number: _________________________________ Does the participant have any medical condition of which the instructor should be aware? (ie: diabetes, asthma, or suffers from seizures)? Circle: Yes No. If yes: explain: __________________________________ Morning ____________ Afternoon ___________ Evening ___________ You will be contacted to coordinate times for lessons. My c.

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