Register for Swim Lessons "*" indicates required fields Parent’s Name* First Last (if participant is under 18 years old)Email* Phone*HiddenNumber of Participants*12345678Address* Street Address Address Line 2 City State AlabamaAlaskaAmerican SamoaArizonaArkansasCaliforniaColoradoConnecticutDelawareDistrict of ColumbiaFloridaGeorgiaGuamHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaNorthern Mariana IslandsOhioOklahomaOregonPennsylvaniaPuerto RicoRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahU.S. Virgin IslandsVermontVirginiaWashingtonWest VirginiaWisconsinWyomingArmed Forces AmericasArmed Forces EuropeArmed Forces Pacific ZIP Code Participant’s Name* Age*6-12 months123456789101112131415161718+Program Desired*Twice Per Week $45/summerOnce Per Week $35/summerLevel of Lesson Desired*Parent/Toddler (starting at 6 months)Beginner 1 (min. age 3)Beginner 2Beginner 3Advanced BeginnerIntermediateSwimmerAdvanced SwimmerWater Masters (min. age 11)View the full schedule in a new window > Twice Per Week Options ($45)* Lake Geneva: 10:00am (Mon/Wed) Lake Geneva: 10:30am (Mon/Wed) Lake Geneva: 11:00am (Mon/Wed) Lake Geneva: 11:30am (Mon/Wed) Williams Bay: 1:00pm (Mon/Wed) Williams Bay: 1:30pm (Mon/Wed) Williams Bay: 2:00pm (Mon/Wed) Williams Bay: 2:30pm (Mon/Wed) Buena Vista: time set by level of lesson (Tue/Thur) Knollwood: time set by level of lesson (Tue/Thur) Fontana: 10:00am (Tue/Thur) Fontana: 10:30am (Tue/Thur) Fontana: 11:00am (Tue/Thur) Fontana: 11:30am (Tue/Thur) Twice Per Week Options ($45)* Lake Geneva: 10:00am (Mon/Wed) Lake Geneva: 10:30am (Mon/Wed) Lake Geneva: 11:00am (Mon/Wed) Lake Geneva: 11:30am (Mon/Wed) Williams Bay: 1:00pm (Mon/Wed) Williams Bay: 1:30pm (Mon/Wed) Williams Bay: 2:00pm (Mon/Wed) Williams Bay: 2:30pm (Mon/Wed) Fontana: 10:00am (Tue/Thur) Fontana: 10:30am (Tue/Thur) Fontana: 11:00am (Tue/Thur) Fontana: 11:30am (Tue/Thur) Once Per Week Options ($35)* Lake Geneva: 10:00am (Fri) Lake Geneva: 10:30am (Fri) Lake Geneva: 11:00am (Fri) Lake Geneva: 11:30am (Fri) Fontana: 10:00am (Fri) Fontana: 10:30am (Fri) Fontana: 11:00am (Fri) Fontana: 11:30am (Fri) Linn Pier: time set by level of lesson (Fri) Williams Bay: 1:00pm (Fri) Williams Bay: 1:30pm (Fri) Williams Bay: 2:00pm (Fri) Williams Bay: 2:30pm (Fri) Once Per Week Options ($35)* Lake Geneva: 10:00am (Fri) Lake Geneva: 10:30am (Fri) Lake Geneva: 11:00am (Fri) Lake Geneva: 11:30am (Fri) Fontana: 10:00am (Fri) Fontana: 10:30am (Fri) Fontana: 11:00am (Fri) Fontana: 11:30am (Fri) Williams Bay: 2:30pm (Fri) Please list any medical conditions or concerns Signature Required: I (the undersigned) authorize the above-named individuals (the participant) to participate in the Geneva Lake Water Safety Patrol Swimming Lesson Program. I assume all risks and hold harmless the Geneva Lake Water Safety Patrol and all of its instructors and employees in the event of an accident or injury.Electronic Signature of parent or authorized adult* Total Credit Card* Cardholder Name Card Details captcha Δ
