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Jr. Swim Team: June 17th-Aug.7th; 9:00-10:00am

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Jr. Swim Team: June 17th-Aug.7th; 9:00-10:00am (We DO have it the week of the 4th)
Please verify and acknowledge: Jr. Swim Team: June 17th-Aug.7th; 9:00-10:00am. Form must be completed with payment processed or slot will not be reserved
Childs Name
Parents Name
Acknowledgement
There is ABSOLUTELY NO REFUNDS. Please check this box to acknowledge
Price: $80.00
Waiver
WAIVER FOR PARTICIPATION: In consideration of your accepting my child’s registration, I hereby for my child, my heirs, executors and administrator, waive and release any and all rights and claims for damages I or my child may have against the City of East Helena and it’s employees, representatives and successors for any and all injuries suffered by my child at the activities for which i am registering my child. Please check this box to acknowledge, and then sign and date below
Clear Signature