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Summer Programming 2024 - Modified Summer Swim Program

This form is for students that will be participating in the Summer Athletic Program. This form allows you to conveniently pay for your summer participation via credit card.

All registrations and payments are due via this form by Friday, June 21, 2024.

Program Title: Modified Summer Swim Program

Description: The purpose of this program is to allow swimmers currently on our modified swim team to continue to develop their skills. Students who are not on either team who have an interest in joining the swim program will also have an opportunity to learn the basics of competitive swimming.

Coaches: Drew Rossi, Stacey Smith, Jessica Rich

Coach Contact: Drew Rossi, arossi@hcsdk12.org

Grades: Students entering 7th - 8th grade

Dates: Monday through Wednesday

July 8, 9, 10, 15, 16, 17, 22, 23, 24, 29, 30, 31 ; August 5, 6, 7, 12, 13, 14, 19, 20, 21

Time: 8:45am - 9:30am

Location: Hamburg High School Pool

Cost: $50

Student First Name: *

Student Last Name: *

Grade Level student is entering for the 2024/2025 School Year. *

Home Address: *

City: *

State: *

Zip Code: *

Parent/Guardian Name: *

Parent/Guardian Phone Number, including area code: *

Parent/Guardian Email Address: *

The requested payment amount reflects the $50.00 fee plus a 3.1% credit card fee and a $0.30 processing fee.

Modified Summer Swim - Summer Programming 2024 *

Requested payment amount: $51.91 USD

Pay with Card

Participant Acceptance *

My student will be participating in the 2024 Summer Programming and I have completed payment information via this form.

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