2026 Evening Group Swim Class Registration Form (4day/week) Please use the following form to select the evening lessons you would like to attend on the weeks of June 29, July 6, and July 20. Each week will include only 4 classes due to pool availability.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) June 29 - July 3 (M T Th F) No Class Wednesday July 6 - 10 (M T Th F) No Class Wednesday July 20 - 24 (M T W F) No Class Thursday Please select your preferred lesson time for June 29 - July 3(Required) 5:00pm - 5:30pm 5:30pm - 6:00pm Please select your preferred lesson time for July 6 - 10(Required) 5:00pm - 5:30pm 5:30pm - 6:00pm Please select your preferred lesson time for July 20 - 24(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: $80.00 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: $160.00 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
