Wahoo Swimming | Alex Eligh Community

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Orange and Blue Modern Swimming Lessons Flyer (1).png

Select Level:

Bronze

Silver

Gold

Select Number of Days (2-4 Days a Week)

2 Days a Week ($225)

3 Days a Week ($275)

4 Days a Week ($325)

Students First Name:

Students Last Name:

Grade:

Birth Date:

Parent/Guardian Name:

Guardian Phone Number:

Guardian Email Address

Player Medical Information We Should Know (Type "N/A" if none)

INSURANCE INFORMATION/PERMISSION TO PARTICIPATE:

The AECC does not carry any Accident Insurance for its Youth Recreation Programs. In the event that your child is injured, the family’s insurance is responsible for paying any medical bills. By signing below, you agree to these conditions and giving your child permission to participate in

Parent/Guardian Signature:

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Fees:

2 Days a Week ($225)

3 Days a Week ($275)

4 Days a Week ($325)

Payment Option

303 East Ave, Newark, NY 14513, USA

315-331-2532

Info@AlexElighCommunityCenter.Org

Office Hours: 9:30am-4:00pm (M-F)

Building/Student Hours:

Monday through Friday: 9:00am-8:30pm

Saturday: 1:00-8:30pm

Sunday: 5:00-8:00pm

We want to hear from you! With any ideas or questions, you can use this button here:

Congrats to our gOATs of the Game Sponsored by Oats & O's

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