22-23 Fall/Winter CST Clinics Enrollment Form

West Cook YMCA 2022-2023 Fall/Winter Competitive Swim Team Clinic Registration Form

Thank you for your interest in the Fall/Winter Competitive Swim Team Clinics. The clinic will combine aquatic and dryland trainings focused on swim stroke development, strength, injury prevention, and team building activities. Supplemented by health and wellness digital content. This clinic is curated to encourage and build quality character driven athletes. Please note, clinic fees are non-refundable but they are transferable to other swimmers and payment arrangements between families.

Availability: 24 spots (Twelve open spots for ages 8 to 10, and twelve open spots for ages 11 and up)

Location: West Cook YMCA Aquatic Facility, 255 S. Marion St., Oak Park, IL

Week One: September 6-9, 2022, Tuesday – Friday Week Two: September 12-15, Monday-Thursday
Age Group	Y Member Cost	Non Member Cost	6:30-7:10 pm	7:10-7:25 pm	7:25-7:45 pm
10 and under	$180/week	$210/week	In Water	Transition	Dryland Training

Age Group	Y Member Cost	Non Member Cost	6:30-7:00 pm	7:00-7:15 pm	7:15-8:15 pm
11 and up	$270/week	$300/week	Dryland Training	Transition	In Water

Athlete Information
Athlete Name *

First Name Middle Name Last Name
Athlete Preferred Name *
Athlete Age *

Month Day Year
Date
Athlete Gender *

Male Female
Please select all that apply for Athlete. *

Ages 8 to 10 years and able to swim 25 yards without stopping (full length of the pool) Ages 11 years and up and able to Swim 50 yards without stopping (down and back the length of the pool) Previously participated in swim lessons Previously participated on a swim team
Please share any additional information about your swimmer?

Parent/Guardian Information
Parent/Guardian Name: *

First Name Middle Name Last Name Suffix
Parent/Guardian Birthdate *

Month Day Year
Date
Parent/Guardian Email *
example@example.com
Additional Emails to add to email distribution list. Please include first and last name and valid email address to be added.
Parent/Guardian Address *

Street Address

Street Address Line 2

City State / Province

Postal / Zip Code
Parent/Guardian Phone Number *

Area Code Phone Number

First Name	Last Name
Credit Card Number	Security Code
Card Expiration

West Cook YMCA 2022-2023 Fall/Winter Competitive Swim Team Clinic Registration Form

Athlete Information

Parent/Guardian Information