Youth Swim Lesson registration | Valley Wellness Center

Youth Swim Lesson registrationSteven Mortazavi2019-02-01T00:27:28+00:00

Child Name

Child Age

Parent Name

Email Address

Phone Number

Best way to contact:

Describe Your child's level of swimming experience.

Please specify what class/time you are interested in:

I am a Member:

Please Charge My Account

Pay Online Now ($110)

I am Not a Member

Pay Online Now ($140)

Total Fee