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WRAC Summer Program Signup

Name of Student: *

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Check Membership Type that applies: *
 Full Member 
 Racquetball Member  
 Fitness Member  
 Non-WRAC Member 
 Non-WRAC Member, but previous class participant so you should have my information. 
 Non-WRAC member, but interested in membership information. Please contact me. 
Membership Account #:
Non-Member Registration:
 I do not have a WRAC Account. Please hold my registration information until I call the club with payment information. I understand that I am not registered until payment is received. Club # is 662-3544.  
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Address *

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In Case of Emergency Contact Name *
Emergency Contact Phone #: *

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SWIM LESSON INSTRUCTION LEVEL:
 Level I 
 Level II 
 Level III 
SWIM LESSONS - CLASS TIMES OFFERED:
Select class time you wish to attend:
 10:15am M-TH $42M / $54 NM 
 10:45am M-TH $42M/ $54NM 
 5:30pm M / W $21M / $27NM 
 5:30pm T / Th $21M / $27NM 
 6:00pm T / Th $21M/ $27 NM 
 Adult Swim Lessons - 10:45 M-TH $42M / $54NM  
SWIM LESSONS -TWO WEEK SESSIONS:
Final Summer Session available:

Note - Fall-Spring Swim Lessons at WHS pool on Monday and Wednesday evenings begin on Sept. 15th. Contact the club to register, 662-3544.
 Aug. 15-26  
TENNIS LESSONS -Final Summer Session:
Note - Fall-Spring TennisLessons begin Sept. 15th. Private and semi private lessons are always available as well. Contact the club to register, 662-3544.
 Aug. 15-19 
TENNIS LESSONS
FM = Full Club member
NFM=Non Full Member
 Ages 5-7 yrs, 9:15-10 am, M-F, $35 FM, $50 NFM 
 Ages 8-10 yrs., 9-10:00 am, M-F, $50 FM, $65 NFM 
 Ages 11 + yrs, 10-11:30 am, M-F, $75 FM, $95 NMF 
Please include any information we will need to know to complete your registration.

Information below to be completed by WRAC staff.

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