Registration: Red Cross Swim Kids - P2E

Age: 5 years and up
COST: Member $80 - Non-member $110
PREREQUISITES: Will be screened by an instructor 

This program is for children and teens (six years and older). The 10 levels will challenge those who took a preschool program, but will also provide a starting point for children with limited swimming experience.

Are you a RNSYS member?:
Is the participant 14 or older at the time of course? (HST):
1

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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