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2. First Name
3. Last Name
5. Email Address
7. Phone Number
8. Program Selection
   -- Select One --Swim LessonsSwim Team

   Please select if you have questions about Swim Lessons or Swim Team.
10. Questions
    Please use the space above to ask any questions you may have about our program.
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12. 1. Receive an email copy of this form.
13. Email address

    This field is not part of the form submission.

14. Submit

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