Registration: Red Cross Swim Pre-School - P1E

Age: Infant to 5 years
COST: Members $65 - Non-member $90
PREREQUISITES: None

This is eight-level program with engaging animal themes for six month old babies to five year old children. As a parent or caregiver you have the opportunity to participate in this program with your children. The lessons are designed for small class sizes so preschoolers can fully enjoy their time with the instructor and other children.

Are you a RNSYS member?:

Participant Information

First Name:
Last Name:
Street Address:
City:
Province:
Postal Code:
Email:
Confirm Email:
Phone:

Health Information

Date of Birth (mm-dd-yyyy):
1
MSI Number:
Allergies:
Medications:
Emergency Contact Name:
Emergency Contact Phone:
Doctor Name:
Doctor Phone:
Add any additional information (e.g. dietary requirements):

Parent/Guardian Information
For participants under the age of 18 years

Mother Name:
Phone (H):
Phone (W/C):
Email:
Father Name:
Phone (H):
Phone (W/C):
Email:
Caregiver Name:
1
Phone:

Releases

Liability release and cancellation policy:
I have read and consent to the RNSYS Waivers
(click here to review)
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Halifax, NS
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