ATLANTIC CITY AQUATIC CLUB
"Providing young people with a positive direction in life
through excellence in aquatics"

REGISTRATION

“LEARN TO SWIM MINNOWS”

Name _______________________________

 

Address________________________________________________________

 

City/State_____________________________

 

Phone Number ______________ Cell Number _______________________

 

Birthday _____________________________

 

Medical Conditions _______________________________________________________

 

Choose a Group           

     _____ Group One -- 5:00pm to 6:00pm

     _____ Group Two – 6:00pm to 7:00 pm   

Cost:   $144

 

Date Registered ____________

 

 

ACAC, members and coaches, are not liable for injuries sustained before, during or after swim practices, swim lessons and while in attendance at swim meet or club activities."