Summer Swim Lessons | Building the BEST Community

Primary Contact Name *

Relationship to Student

Email Address *

Confirm Email Address *

Street Address

City

State/Province

ZIP / Postal code

Phone

Swimmer Name

Swimmer Age

Swimmer Date of Birth

Level of Swim Skills

Session ChoicesSelect either a single lesson or a 4 lesson series30-minute: Individual Lesson $30Full Swim: includes 4 lessons $60

Does your child have any special needs we need to be aware of?

SignatureI acknowledge that my child has my permission to receive swim skills training at the Pass Christian DeLisle/Marsha Barbour Community Center. I also agree to indemnify and hold harmless the Pass Christian DeLisle/Marsha Barbour Community Center, Building the BEST Community, its agents, employees, and volunteers, as well as all participating Camp sponsors, partners, and participants from any and all such losses, expenses, damages, demands, and claims; shall defend any suits or actions brought against any of them, based on any such alleged injury or damage; and shall pay all damages, costs, and demand, including attorney fees in connection therewith, or resulting there from.

Final Step

Once the application is complete and payment is confirmed, you will be contacted for scheduling.