Aquatic School Swim Program School Contact Information School Name School BoardPlease select... Edmonton Public Schools Edmonton Catholic Schools Conseil Scolaire Centre-Nord Other (please specify) Other School Board Address Postal Code Phone Number Fax Email Contact Person Please specify any special needs for safety reasons General Booking Information Swimming Pool RequestedPlease select... ACT Bonnie Doon Booster Juice Recreation Centre in Terwillegar Clareview Commonwealth Confederation Eastglen Grand Trunk Hardisty Jasper Place Kinsmen Londonderry Mill Woods O'Leary Peter Hemingway The Meadows Grade(s) of Students No. of Students per Session No. of Teachers/Volunteers How many bookings? Program TypeSchool-led Recreational Swim ProgramInstructional (City-led) Program School-led Recreational Swim Program Booking Information Please refer to School-led Swim Program Availability for available dates and times. Preferred Days of the Week List 1-5 with 1 being most desired Time of Day List 1-5 with 1 being most desired No. of Students Under 8 Years Old Pool Depth(s) RequiredShallow WaterDeep Water Preferred Dates and Times Instructional Program Booking Information Please refer to Instructional Swim Program Availability for available dates and times. ProgramPlease select... Swim at School I CAN SWIM (Kinsmen Sports Centre Only) Swim to Survive Kindergarten Program Booking Code For example, ACT-12 Booking Code 2nd Choice: Booking Code 3rd Choice Booking Code 4th Choice Grade: No. of Students 30 max for grades 1-12, 18 max for kindergarten Additional Comments Please also include any special requests I have read and agree to the Conditions for Use and Cancellation Policy Conditions for Use and Cancellation Policy Personal information on this form is being collected under the authority of section 33(c) of the Freedom of Information and Protection of Privacy (FOIP) Act and will be used for the administration and management of the City of Edmonton, Community Services, Aquatic Booking program. If you have any questions about the collection or use of your personal information, please contact the Program Coordinator at 780-442-4550.