SPLASH Registration

FREE learn to swim lessons for children aged 7 years and older, as well as adults, beginning on Thursday, April 2, 2026 and ending on Thursday, June 11, 2026. *Please arrive a few minutes early on first day for initial check-in.* For more information, please contact John Dwinell at 508-767-2505 ext. 129

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Name (or if under 18, Parent/Guardian name)(Required)
Address(Required)
Total Number Living in Household:
Household Income:
If Child is under 18 years old:
Child's Full Name
Age
Child's Race