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STAR Aquatics Infant Swimming Resource Registration
* indicates required field

Parent Name: *
Address: *
City: * State: * Zip: *
Home Phone: *
Work Phone:
Mobil Phone:
Email Address: *
Alt. Email Address:

 

First Child
Child Name: * Preferred Name:
Gender: Male   Female* Age: *
Type of Class:  ISR*
Preferred Location:  *
Preferred Time: *    
Preferred Day: *
 
Second Child
Child Name: Preferred Name:
Gender: Male   Female Age:
Type of Class:  ISR
Preferred Location:  
Preferred Time:    
Preferred Day:
 
Third Child
Child Name: Preferred Name:
Gender: Male   Female Age:
Type of Class:  ISR
Preferred Location:  
Preferred Time:    
Preferred Day:

 

Enter any Comments or Concerns you would like to add: (any medical condition, etc…)

Click on “Submit” button only once.
It will take a moment for your registration to be submitted