Adult & Teen Swim Lessons 2025

Required for our progress report management software.

Are there any allergies, medical concerns, learning accommodations, or other accommodations the program instructor should be made aware of. If None, please type “None”

Parent/Guardian information only required if participant is under the age of 18. Please type N/A if not applicable.

Please enter an emergency contact that can be called in the event of an emergency. Please include their name, relationship to the participant and phone number. (Ex: Jane Doe, Grandmother, 204-111-1111). Should be different from parent/guardian listed above.

By clicking this you agree to the Program Registration Agreement, along with all program terms and conditions listed on our website. Note, swimmers under the age of 12 require a parent/guardian onsite for lessons.

I give permission to the City of Selkirk to take and use photos or videos of me (or my child, if under 18) for promotional purposes including social media, website, and other communications. I understand these may be used without compensation and may be seen by the public.

We promise not to spam you! We send our program and event information and important dates approximately 4 time per year.