2026 Evening Group Swim Class Registration Form (M-F) Please use the following form for group swim lessons.Parent/Guardian Name(Required)Parent/Guardian Email(Required) Parent/Guardian Phone(Required)Child's Name(Required)Child's Age(Required)Please enter a number from 2 to 18.Please select appropriate lesson level for your child.(Required)Please see webpage for level descriptions. https://www.berkeleyswimclub.com/grouplessons Seahorse Dolphin Shark Please select the class week(s).(Required) July 13 - 17 (M T W Th F) July 27 - 31 (M T W Th F) August 3 - 7 (M T W Th F) August 10 - 14 (M T W Th F) Please select your preferred lesson time for July 13 - 17(Required) 5:00pm - 5:30pm 5:30pm - 6:00pm Please select your preferred lesson time for July 27 - 31(Required) 5:00pm - 5:30pm 5:30pm - 6:00pm Please select your preferred lesson time for August 3 - 7(Required) 5:00pm - 5:30pm 5:30pm - 6:00pm Please select your preferred lesson time for August 10 - 14(Required) 5:00pm - 5:30pm 5:30pm - 6:00pm Are you a current member of the BSC?(Required) Yes No Group Lesson - Weekly Member Rate Quantity Price: $100.00 Quantity The quantity that you enter MUST match the number of weeks you have selected above for your registration to be valid.Group Lesson - Weekly Non-Member Rate Quantity Price: $200.00 Quantity The quantity that you enter MUST match the number of weeks you have selected above for your registration to be valid.Subtotal $0.00 Processing Fee Price: $0.00 Total Credit Card American ExpressDiscoverMasterCardVisaSupported Credit Cards: American Express, Discover, MasterCard, Visa Card Number Expiration Date Month Month010203040506070809101112 Year Year20262027202820292030203120322033203420352036203720382039204020412042204320442045 Security Code Cardholder Name Order Token
