Form Center

2. 

4. Improve your swimming skills with individualized attention and instruction.

   Ages 4 to Adult. All skill levels welcome.
   Days and times are dependent on Instructor's availability and weather.
   Each Lesson is 30 minutes.
7. Pricing

   1. 1 Lesson: $30

   1. 4 Lessons or More: $25

   $5 discount off total registration fee for 2nd family member.

9. Participant Name*
10. D.O.B.*
12. Additional Participants (If applicable)
13. D.O.B.
15. Parent/Guardian Name(s)
17. Address*
19. City*
20. State*
21. ZIP*
23. Primary Phone*
24. Secondary Phone
26. Email*
28. Swimmer Goals and/or Notes for the Instructor
30. Cash or check only. Please make checks out to the instructor.
32. Acknowledgement*

    I recognize and acknowledge that there are certain risks of physical injury to participants in this program and I voluntarily agree to assume the full risk of any and all injuries, damages, or loss, regardless of severity that I may sustain as a result of participating. I further agree to waive and relinquish all claims I may be entitled to as a result of participating in this program against the City of Branson, including officials, agents, volunteers and/or employees of the said parties. I agree to the unreserved use of my child's name and/or likeness (including photographs, videotapes and other depictions) for publicizing Branson Parks & Recreation programs and events. I have read and fully understand the above information.

    1. Accept
Leave This Blank:


34. 1. Receive an email copy of this form.
35. Email address

    This field is not part of the form submission.

36. Submit

* indicates a required field