2026 non-Member Swim Lessons Parents/Guardian InformationName(Required) First Last Phone(Required)Email(Required) Swimmer Information (One swimmer per form)Name(Required) First Last Date of Birth(Required) MM slash DD slash YYYY Group Level(Required)Choose oneGroup 1: Pre-BeginnerGroup 2: BeginnerGroup 3: AdvanceGroup 4: Pre-SwimmerGroup 5: SwimmerGroup 6: Stroke Development and EndurancePlease refer to group descriptions. *Swimmers may be moved to different group based on the evaluations and observations of the swim instructor(s).Must login and use Member form to get Member discount!Week I: June 22-25 ($130)None10:45-11:1511:20-11:50Week II: June 29-July 2 ($130)None10:45-11:1511:20-11:50Week III: July 6-9 ($130)None10:45-11:1511:20-11:50Week IV: July 14-16 ($97.50)None10:45-11:1511:20-11:50Prorated for shortened weekConsent(Required) By clicking this box, I consent to the following waiver:Refund Policy: I understand that no refunds will be issued after June 1, 2026. Scheduling Warnings: You may not receive the time slot of your choice as we are trying to keep the numbers even for both time slots. Assumption of Risk: I understand and acknowledge that participating in swim lessons at Cedarbrook Swim & Tennis Club involves inherent risks, including but not limited to the risk of personal injury and other accidents. I hereby voluntarily assume all risks associated with my participation or my child’s participation in the swim lessons. Release of Liability: In consideration for being permitted to participate in swim lessons, I hereby release, waive, discharge, and covenant not to sue Cedarbrook Swim & Tennis Club, its owners, employees, instructors, volunteers, agents, or any other parties associated with the club, from any and all liability for personal injury, property damage, or wrongful death arising out of my or my child’s participation in swim lessons, whether caused by negligence or otherwise, to the fullest extent permitted by law.PaymentSubtotal $0.00 Payment TypeACH TransferCredit CardCredit Card Processing Fees Price: $0.00 ACH Processing Fees $0.00 Total Credit Card(Required) American ExpressDiscoverMasterCardVisaSupported Credit Cards: American Express, Discover, MasterCard, Visa Card Number Expiration Date Month Month010203040506070809101112 Year Year20262027202820292030203120322033203420352036203720382039204020412042204320442045 Security Code Cardholder Name A processing ~3% processing fee applies to all credit card transactions.ACH(Required) Account Number SelectSavingsChecking Account Type Routing Number Account Holder Name A processing 0.5% processing fee applies to all credit card transactions.Order Token