Please enter your information in the Form below and click the Submit button at the bottom of this page. We will contact you shortly. You may also print this form and submit it in person.
Trainee Information
Preference:
Enter Parent’s Name if Registering for Youth Program
Contact information
Emergency Contact
Programs
I (we) would like to register myself / my (our) child with Markov’s Aquatics (M.A.S.C.) for the following program(s).
Youth Programs: Recreational Swimming Program Competitive Swimming Competitive Water Polo Youth Triathlon Youth Aqua Fit Youth
Adult Programs: Learn to Swim Masters Swim Competitive Water Polo Adults Triathlon Adults Aqua Fit Adults Fit Female
Number of Training Times Per Week
He / She will train 1 times per week He / She will train 2 times per week He / She will train 3 times per week He / She will train 4 times per week He / She will train 5 times per week He / She will train 6 times per week
Training Days (See Training Schedule for details)
Mondays 4:45 – 5:45pm
Tuesdays 4:45 – 5:45pm
Wednesdays 4:45 – 5:45pm
Thursdays 4:45 – 5:45pm
Fridays 5-6pm, 6-7pm
Saturdays 4-5pm, 5-6pm
Sundays 10-11am, 11am-12pm
Training Start and End Dates
He/She will start his/her swimming training on He/She will end his/her swimming training on
Markov’s Swimming Camps
I / (we) also would like to register for Swimming Camps held during:
Christmas Break March Break July - First Week July - Second Week July - Third Week
Payment Information
I (we) have been informed that the cost for the swimming lessons of myself / my (our) child is $
Please Note: Uniforms must be purchased.
I agree to pay the amount as follows:
Cash Payment Payment by Check
Send us your Questions and Comments
