Fluid Motion, swimming instruction in Winnipeg
Fluid Motion, swimming instruction in Winnipeg
Fluid Motion, swimming instruction in Winnipeg Fluid Motion, swimming instruction in Winnipeg Fluid Motion, swimming instruction in Winnipeg Fluid Motion, swimming instruction in Winnipeg Fluid Motion, swimming instruction in Winnipeg Fluid Motion, swimming instruction in Winnipeg

Our 2012 Spring Registration Forms, Dates and Fees in PDF format. (172 KB)
Fluid Motion, swimming instruction in Winnipeg

Our 2011 - 2012 Day Off Schedule in PDF format. (48 KB)
Fluid Motion, swimming instruction in Winnipeg

2011-2012 Flyer

Our 2011 - 2012 Flyer in PDF format. (180 KB)


Fluid Motion, swimming instruction in WinnipegHome > Registration Information > Registration Form

Registration Form

Please read our Registration Forms, Dates and Fees PDF (at left) for all of the information needed to complete this form.

Once completed and submitted a representative of Fluid Motion will contact you to confirm your registration and discuss payment options.

Please fill in all applicable fields.

Family Name:   
Mother's Name:   
Father's Name:   
Mailing Address:   
Postal Code:   
Home Phone Number:   
Mother's Work Phone Number:   
Father's Work Phone Number:   
Mother's Cell Phone Number:   
Father's Cell Phone Number:   
E-mail Address:   

Swimmer #1 Name   
Date of Birth:   
Last Level Achieved:   
Name of School:   
Dismissal Time:   
Medical Conditions:   
Level or Program Registering for:

   

Please indicate your preferred day and location for the program you are registering for:
Preferred Day of the Week (Where applicable):   
Preferred Location (Where applicable):   

Swimmer #2 Name   
Date of Birth:   
Last Level Achieved:   
Name of School:   
Dismissal Time:   
Medical Conditions:   
Level or Program Registering for:

   

Please indicate your preferred day and location for the program you are registering for:
Preferred Day of the Week (Where applicable):   
Preferred Location (Where applicable):   

Swimmer #3 Name   
Date of Birth:   
Last Level Achieved:   
Name of School:   
Dismissal Time:   
Medical Conditions:   
Level or Program Registering for:

   

Please indicate your preferred day and location for the program you are registering for:
Preferred Day of the Week (Where applicable):   
Preferred Location (Where applicable):   

Swimmer #4 Name   
Date of Birth:   
Last Level Achieved:   
Name of School:   
Dismissal Time:   
Medical Conditions:   
Level or Program Registering for:

   

Please indicate your preferred day and location for the program you are registering for:
Preferred Day of the Week (Where applicable):   
Preferred Location (Where applicable):   

   
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© Fluid Motion 2006-2012 All Rights Reserved
654 Cathcart St
Winnipeg, Manitoba R3R 1Y2
Phone: 888 3861 Fax: 897 1313

 Fluid Motion, swimming instruction in Winnipeg
Fluid Motion, swimming instruction in Winnipeg