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Swim lesson drop-in 2026

June 3, 2026/in Forms

Swim Lesson drop-in 2026

Form to register and pay for DROP-IN Swim Lessons in 2026

"*" indicates required fields

Swimmer Information

Swimmer Name*

First Last

Swimmer Date of Birth*

MM slash DD slash YYYY

This field is hidden when viewing the form

Swimmer Age

Date of lesson*

MM slash DD slash YYYY

Contact Details

Parent/Guardian 1 Name*

First Last

Cell Phone*

Email*

Parent/Guardian 2 Name

First Last

Leave blank if Not Applicable

Cell Phone

Email

Address*

Street Address Address Line 2 City State ZIP Code

Please list the address where your swimmer(s) reside

Does Swimmer have any allergies that we need to be aware of?*

Yes

No

If Yes, please list them below:*

Does Swimmer have any other medical conditions we need to be aware of?*

Yes

No

If Yes, please list them below:*

Emergency Contacts

Enter Emergency Contacts (up to 2)*

Name

Relationship to Swimmer(s)

Cell Phone

Please Choose the most appropriate level for your child:

Level 1 – New swimmer. Cannot be in the pool unassisted. Children must be potty trained and willing to get into the pool without a parent.

Level 2 – Can support themselves in the pool (doggy paddle). Must be able to put face in the water. Begin working on strokes like freestyle and backstroke.

Level 3 – Can swim freestyle and backstroke by themselves. Lifeguards are not in the pool at this level.

Level 4 – Knows all 4 strokes. Improving technique and work on flip turn.

Level 5 – Stroke and turn – Perfect for advanced swim team members who are looking for more individual coaching.

Level

1

2

3

4

5

Swim Lesson Cost

Price:

Subtotal

$0.00

Payment Type*

ACH

credit card

Processing Fees

Price: $0.00

Total (Including processing fee)

ACH

Account Number Account Type Routing Number Account Holder Name

Credit Card

American Express

Discover

MasterCard

Visa

Supported Credit Cards: American Express, Discover, MasterCard, Visa

Card Number

Expiration Date Month Year

Security Code Cardholder Name

Order Token

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http://bstc.org/wp-content/uploads/sites/106/2023/08/BSTC-Logo.png 0 0 Kim Solomon http://bstc.org/wp-content/uploads/sites/106/2023/08/BSTC-Logo.png Kim Solomon2026-06-03 12:05:152026-06-03 12:05:30Swim lesson drop-in 2026

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Founded in 1957 and located in Burlington, Ma, Burlington Swim & Tennis Club is a nonprofit, volunteer operated pool/tennis/social club.

1 Country Club Lane Burlington, MA 01803

781-272-9837

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