The Brentwood Swim Club
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2014 SIGN UP
1 FORM PER CHILD
1:00 – 2:00 pm Ages 5-9
2:00 – 3:00 pm Ages 10-14
F F ULL (16 Days) $130 HALF (8 Days) $70 QUARTER (4 Days) $40
CLINIC DATES (Please circle dates attending):
TUE THR TUE THR TUE THR TUE THR
JUNE – 3 5 10 12 17 19 24 26
JULY - 8 10 15 17 22 24 29 31
NAME:_________________________________________________ AGE:___________
SIGN UP / CHECKS PAYABLE: MARK MCPHILLIPS
11704 CLAYCHESTER DR. TOTAL: ___________
ST. LOUIS, MO 63131
QUESTIONS: MARK MCPHILLIPS – 513.519.1207