Level IV 11:10am Intermediate- Session 7

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Level IV 11:10am - Session 7

Required

Swimmer's Name (Must add "1" Attendee, then click on "Attendee")required

Attendee 1 Info

First Name*

Last Name*

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Primary Contact's Namerequired

First Name

Middle (optional)

Last Name

Secondary Contact's Namerequired

First Name

Middle (optional)

Last Name

Primary Email Addressrequired

Secondary Email Addressrequired

Primary Phone Numberrequired

Primary Mailing Address

Emergency Contact Namerequired

First Name

Middle (optional)

Last Name

Emergency Contact Phone Numberrequired

Please select FCS/Non-FCS from the drop downrequired

Terms of Servicerequired

I accept the following agreement:

Cancellation & Missed Class Agreement:

There is a $30 Cancellation cost per session. All cancellation requests must be received by 11:59pm the Sunday before the first class of a new session. No refunds will be given after. In addition the refund policy, there are no make ups if your child cannot attend their lesson. This policy applies to all situations regardless of illness, injury, scheduling conflict or inclement weather.

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Payment Information

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Credit Card

<p>FCA will only be accepting credit card as the form of payment. </p>

Billing Addressrequired

Address

City

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Country

Zip/Postal Code

Cardholder Namerequired

First

Last

Card Numberrequired

Expirationrequired

CVV Numberrequired