Swimming Online Registration Form

Swim lesson run June 20-30 ( Mondays, Tuesdays, Wednesdays and Thursdays).
Each 8 day session is $75.00 per swimmer.
We accept checks and cash
Checks may be mailed to: Barfield School of Dance, 2298 Barfield Road, Murfreesboro, TN 37128

Swimmers Name  
Parent's Name
Street Address
City
State
Zip Code
Home Phone
Cell Phone
E-mail
Swimmers Age
Swimmers Birth date
 Swimmers Sex Male Female

Special Requests:


How did you hear about us?


What days are best for your schedule?

4:00pm (Levels 1&2)
5:00pm (Levels 3&4)
6:00pm (Levels 5&6)