LAINE'S
Webb's Pro Fitness Summer 2013 PRE-Registration Form
                                     for Swim Lessons
Parent Name__________________________________ 
Phone #______________
Child Name________________________  Age____ Level________
Child Name________________________  Age____ Level________
Child Name________________________  Age____ Level ________
__Member OR __Non-member
__Past Student with Laine OR __ Past Student at Webb's with other instructor (if so, how many 8 week sessions w/ Dawn___
You MUST bring this in to Webb's & have Desk Staff put in safe prior to Wed May 15, 2013

Print out this form and bring in to club BEFORE Wed May 14, 2013 so you will get your time posted to come to Registration on Sunday May 19th  !!