Upper Moreland School District
Middle School Pool
4000 Orangemans Rd.
Hatboro, PA 19040

2008 SUMMER “LEARN to SWIM”* PROGRAM REGISTRATION FORM
*(Children must be age 5 by July 1, 2008)

Check which session:

_______ 1st Session:     6/16 to 6/27

_______ 2nd Session:    6/30 to 7/11     (Closed 7/4)

_______ 3rd Session:     7/14 to 7/25

Check your preference of class time:

_______ 8:00AM –   8:40AM               

_______ 9:30AM – 10:10AM

_______ 8:45AM –   9:25AM

_______ 10:15AM – 10:55AM


Child’s Name(s):                                                              Age:

_________________________________              __________

_________________________________              __________

_________________________________              __________

       Multiply $45.00
                                     X ____. Sessions
                                     X ____. Child(ren)
                             =     $______.00 (Total Due)

My Name ___________________  Contact Phone #______________________

Mail or bring check and completed Registration Form to:
Upper Moreland School District
2900 Terwood Rd.  Willow Grove, PA  19090
Attn: Business Office