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New Family Information

Parent/Guardian Name (Last, First)

Students' First Names

Will someone else be bringing your child to lessons?

Any concerns you or your child(ren) may have? Is there anything I should know about interacting with your child(ren)?

While I aim to make lessons as fun as possible, swim lessons sometimes involve tears. Are you ok with this? Anything you would like me to know in regards to this?

How did you hear about Lakeshore? If it was a friend, please list their name. I love to thank people for their referrals. If I spoke to you personally, please add where- school, library, etc.