Meraquas of Irvine
Summer Synchronized Swimming Classes
Enrollment Form
Child's name:
Date of birth:
Parent's name:
Address:
City:
ZIP:
Home phone:
Work phone:
Check desired classes:
Age
Day
Time
Cost
Session 1
6/4 - 6/15
Session 2
6/18 - 6/29
Session 3
7/2 - 7/13
Session 4
7/16 - 7/27
Session 5
7/30 - 8/10
Session 6
8/20 - 8/31
8-10
MWF
4:30-5:15
$56
11-13
MWF
5:30-6:15
$56
14-up
MWF
6:30-7:15
$56
8-10
T Th
5:30-6:15
$45
11-13
T Th
6:30-7:15
$45
14-up
T Th
4:30-5:15
$45
Fill out form and print it out using your browser's Print function.
Mail form with check made out to Meraquas of Irvine to:
Meraquas of Irvine Summer Program
20 Perryville
Irvine, CA 92620