Swim Program Registration Form

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Child Information

NOTE: Please complete one form per child.

Parent / Guardian Information

Emergency Contact Information

Additional Information

Swim Program Fees

Depending on your selection above the fee varies and is subject to change. Please have a look at our fees PDF document for more information. Payments can be made by E-transfer to payments@madawaskavalley.ca or in person at the Township office by debit, cash or cheque.
Note: Payment must be received in full by the first day of lessons. Program participation will not be allowed until appropriate forms and payment have been received,. No refunds will be given following the second class of each session.