"*" indicates required fields Contact Name* First Last Email* Phone*Child's Name* First Last Child's Age*56789101112131415Is the child a JCC member?* Yes No Can the child swim with their face in the water?* Yes No Can the child swim the length of the pool without stopping?* Yes No Child would attend swim team practice on:* Tuesdays only Thursdays only Tuesdays and Thursdays Are you interested in a free practice? Yes No CAPTCHA Δ
