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Parent Name: *
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Address Street 1: *
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Address Street 2:
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City: *
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Zip Code: *
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(5 digits)
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Phone: *
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Email: *
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Student's Name: *
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Student's Age:
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Days and Locations
Monday
Tuesday
Wednesday
Thursday
Friday
Saturday
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Alpharetta (Holiday Inn Express)
Dawsonville (Best Western Hotel)
Cumming (Bethany Spring Subdivision)
Alpharetta (Holiday Inn Express)
Cumming (Bethany Spring Subdivision)
Cumming (Bethany Spring Subdivision)
Alpharetta (Holiday Inn Express)
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Preferred Location
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AlpharettaDawsonville
Outdoors - your pool or ours
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What is your child's swimming ability? *
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Please indicate type of lesson you are interested in: *
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