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I Can Swim Program
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Participant's Full Name
*
First
Last
Parent or Guardian Name (required for all programs involving minors)
First
Last
Phone Number
*
Email
*
Emergency Contact Name
*
First
Last
Emergency Contact Phone Number
*
City of Residence
*
--- Select Choice ---
Aurora
Richmond Hill
Newmarke
Barrie
Other
Swimming Ability Level
Non-swimmer
Beginner
Intermediate
Advanced
Swim Session Selection
Summer Session
Spring/Fall Session
Winter Session
Please note: Participants may register throughout the year and will be notified of program availability and registration instructions once a space becomes available or their registration has been confirmed.
Transportation or Ride Needed? (ABC may provide transportation support)
*
Yes
No
How Did You Hear About Us?
*
--- Select Choice ---
Social media
Word of mouth
Community event
ABC newsletter
Other
Our Terms
*
By submitting this form, you agree to our
Terms
You of Swim
Do you consent to photo and media release allowing ABC to use images or video for promotional purposes
*
Yes
No
Waiver/Policy
*
I understand that participation in the I Can Swim program may be subject to additional waivers, policies, and terms required by the program provider or facility (e.g. Town of Aurora).
Parental/Guardian Consent
*
I confirming and authorize that the child can participate
Privacy Statement
*
The information collected is used solely for program administration and will not be shared with third parties, in accordance with applicable Canadian privacy legislation
Submit
Home
Programs
Rising Leaders
Events
What’s New
Calendar
Resources
About Us
Contact
Home
Programs
Rising Leaders
Events
What’s New
Calendar
Resources
About Us
Contact
Donate