Group Swim Lesson Registration & Payment Registration for group swim lessons is not complete until payment is received. Swim lesson sign up is on a first come, first serve basis. Step 1 of 3 33% CAPTCHAContact DetailsParent/Guardian Name(Required) First Last Email(Required) Enter Email Confirm Email Phone(Required)Address(Required) Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Country AfghanistanAlbaniaAlgeriaAmerican SamoaAndorraAngolaAnguillaAntarcticaAntigua and BarbudaArgentinaArmeniaArubaAustraliaAustriaAzerbaijanBahamasBahrainBangladeshBarbadosBelarusBelgiumBelizeBeninBermudaBhutanBoliviaBonaire, Sint Eustatius and SabaBosnia and HerzegovinaBotswanaBouvet IslandBrazilBritish Indian Ocean TerritoryBrunei DarussalamBulgariaBurkina FasoBurundiCabo VerdeCambodiaCameroonCanadaCayman IslandsCentral African RepublicChadChileChinaChristmas IslandCocos IslandsColombiaComorosCongoCongo, Democratic Republic of theCook IslandsCosta RicaCroatiaCubaCuraçaoCyprusCzechiaCôte d'IvoireDenmarkDjiboutiDominicaDominican RepublicEcuadorEgyptEl SalvadorEquatorial GuineaEritreaEstoniaEswatiniEthiopiaFalkland IslandsFaroe IslandsFijiFinlandFranceFrench GuianaFrench PolynesiaFrench Southern TerritoriesGabonGambiaGeorgiaGermanyGhanaGibraltarGreeceGreenlandGrenadaGuadeloupeGuamGuatemalaGuernseyGuineaGuinea-BissauGuyanaHaitiHeard Island and McDonald IslandsHoly SeeHondurasHong KongHungaryIcelandIndiaIndonesiaIranIraqIrelandIsle of ManIsraelItalyJamaicaJapanJerseyJordanKazakhstanKenyaKiribatiKorea, Democratic People's Republic ofKorea, Republic ofKuwaitKyrgyzstanLao People's Democratic RepublicLatviaLebanonLesothoLiberiaLibyaLiechtensteinLithuaniaLuxembourgMacaoMadagascarMalawiMalaysiaMaldivesMaliMaltaMarshall IslandsMartiniqueMauritaniaMauritiusMayotteMexicoMicronesiaMoldovaMonacoMongoliaMontenegroMontserratMoroccoMozambiqueMyanmarNamibiaNauruNepalNetherlandsNew CaledoniaNew ZealandNicaraguaNigerNigeriaNiueNorfolk IslandNorth MacedoniaNorthern Mariana IslandsNorwayOmanPakistanPalauPalestine, State ofPanamaPapua New GuineaParaguayPeruPhilippinesPitcairnPolandPortugalPuerto RicoQatarRomaniaRussian FederationRwandaRéunionSaint BarthélemySaint Helena, Ascension and Tristan da CunhaSaint Kitts and NevisSaint LuciaSaint MartinSaint Pierre and MiquelonSaint Vincent and the GrenadinesSamoaSan MarinoSao Tome and PrincipeSaudi ArabiaSenegalSerbiaSeychellesSierra LeoneSingaporeSint MaartenSlovakiaSloveniaSolomon IslandsSomaliaSouth AfricaSouth Georgia and the South Sandwich IslandsSouth SudanSpainSri LankaSudanSurinameSvalbard and Jan MayenSwedenSwitzerlandSyria Arab RepublicTaiwanTajikistanTanzania, the United Republic ofThailandTimor-LesteTogoTokelauTongaTrinidad and TobagoTunisiaTurkmenistanTurks and Caicos IslandsTuvaluTürkiyeUS Minor Outlying IslandsUgandaUkraineUnited Arab EmiratesUnited KingdomUnited StatesUruguayUzbekistanVanuatuVenezuelaViet NamVirgin Islands, BritishVirgin Islands, U.S.Wallis and FutunaWestern SaharaYemenZambiaZimbabweÅland Islands Session DetailsSession Selection(Required)Session 1 - June 8-12 with make ups on June 13 and 14 if neededSession 2 - June 15-19 with make ups on June 20 and 21 if neededPlease choose the session you are registering for today. If you want to register for both sessions, please complete another registration form. Pre-Screening(Required)Saturday, June 3 - 1pm-4pmSaturday, June 3 - 4pm-7pmSunday, June 4 - 1pm-4pmSunday, June 4 - 4pm-7pmHow did you hear about our swim lessons?(Required)Social MediaEmail from the NMSCGoogleWord of MouthRefer a FriendPast ParticipantOtherParticipantsPlease list all of the children you are signing up for swim lessons. You can register up to 4 swimmers per form. To register more, please complete another registration. Members - You may only register children who are on your account. All participants must be registered by their own parent or guardian. Participant #1Name of Participant(Required) First Last Age of Participant(Required)Please enter a number from 2 to 99.Swim Experience(Required)Little to no experience in the waterIs comfortable in the water but needs to hold on to the edge of the poolCan tread water and float with some assistanceCan tread water and float on their ownSwims across the length of the pool but doesn't use proper formCan swim across the length of the pool without assistancePlease choose the best description of your swimmer. Participant #2Name of Participant First Last Age of ParticipantPlease enter a number from 2 to 99.Swim ExperienceLittle to no experience in the waterIs comfortable in the water but needs to hold on to the edge of the poolCan tread water and float with some assistanceCan tread water and float on their ownSwims across the length of the pool but doesn't use proper formCan swim across the length of the pool without assistancePlease choose the best description of your swimmer. Participant #3Name of Participant First Last Age of ParticipantPlease enter a number from 2 to 99.Swim ExperienceLittle to no experience in the waterIs comfortable in the water but needs to hold on to the edge of the poolCan tread water and float with some assistanceCan tread water and float on their ownSwims across the length of the pool but doesn't use proper formCan swim across the length of the pool without assistancePlease choose the best description of your swimmer. Participant #4Name of Participant First Last Age of ParticipantPlease enter a number from 2 to 99.Swim ExperienceLittle to no experience in the waterIs comfortable in the water but needs to hold on to the edge of the poolCan tread water and float with some assistanceCan tread water and float on their ownSwims across the length of the pool but doesn't use proper formCan swim across the length of the pool without assistancePlease choose the best description of your swimmer. Payment DetailsIf you want to register for both sessions, please complete another registration form. Membership Level(Required)Bonded Member - My dues are paid in full for the 2023 seasonNon-Bonded Member - My dues are paid in full for the 2023 seasonNot a Member - I have not paid dues for the 2023 season.Prices are based on your membership level and will be confirmed by an NMSC teammate after purchase. To qualify as a member, your dues for the season must be paid in full before the start of the session. Confirm Your Session Selection(Required)Session 1 - June 8-12 with make ups on June 13 and 14 if neededSession 2 - June 15-19 with make ups on June 20 and 21 if neededBONDED MEMBER - Session 1 - June 8-14 Price: QuantityPlease enter a number from 0 to 4.BONDED MEMBER - Session 2 - June 15-21 Price: QuantityPlease enter a number from 0 to 4.NON-BONDED MEMBER - Session 1 - June 8-14 Price: QuantityPlease enter a number from 0 to 4.NON-BONDED MEMBER - Session 2 - June 15-21 Price: QuantityPlease enter a number from 0 to 4.NON MEMBER - Session 1 - June 8-14 Price: QuantityPlease enter a number from 0 to 4.NON MEMBER - Session 2 - June 15-21 Price: QuantityPlease enter a number from 0 to 4.Subtotal $0.00 NJ State Tax $0.00 Online Processing Fee Price: $0.00 Total Credit Card(Required) American ExpressDiscoverMasterCardVisaSupported Credit Cards: American Express, Discover, MasterCard, Visa Card Number Expiration Date Month Month010203040506070809101112 Year Year20232024202520262027202820292030203120322033203420352036203720382039204020412042 Security Code Cardholder Name Consent(Required) I agree to the statement below and agree to the Rules and Regulations for the NMSC on the website.I am the parent/guardian responsible for the swimmers I have registered on this form. We agree to participate in group swim lessons at the New Milford Swim Club located at 160 Trotta Drive in New Milford, NJ. We agree to release, indemnify, and hold harmless the New Milford Swim Club, Inc. from and against any loss, damage or liability, including attorney’s fees and expenses incurred, arising out of my guest’s participation in the camp or in any manner relating to the Club.