Registration: Red Cross Swim Pre-School - P1B

Age: Infant to 5 years, up to two participants
COST: Members $65 - Non-members $90
PREREQUISITES: None

This is eight-level program with engaging animal themes for six month old babies to five year old children. You have the opportunity to participate in this program with your children. 

Are you a RNSYS member?:
Lunch Program?:
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)

Sponsors of the Marblehead to Halifax Ocean Race 2019:

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