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Sign up for Safe Waters Summer Initiative 

Start building your financial future today.

What To Expect

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SAFE WATERS SIGN-UP FORM

Register youth for swim program in partnership with the YMCA

Participant Info

Participant Date of Birth
Month
Day
Year

Parent/Guardian Info

Swim Experience

Can the participant swim?
No Experience
Beginner
Intermediate

Safety Questions

Availability

Preferred days
Transportation Needed? (Yes/No)
Yes
No

Consent

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