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Thank you for your interest in our Swim For Kids subsidy program.
Parent First & Last Name
Child's First and Last Name
Phone Number
Address
Email Address
Would you like to receive information by email from Vanastra Recreation Centre?
No
Yes
Child's Age
Funding is available for Swimmer 1 and above
Bronzes
Swimmer 6
Swimmer 5
Swimmer 4
Swimmer 3
Swimmer 2
Swimmer 1
How often are you near water (i.e. cottage, lake, beach, pool, etc.)?
Never/No access
Rarely
Sometimes
Always/Close access
How much can you contribute towards lessons? (min 25%)
25%
50%
75%
How would you be paying?
Cheque
Cash
E-transfer
School child is attending
Any special notes about the child
Do you intend to continue with swimming lessons in the future?
Yes
No
On a scale of 1-10 how often do you access social media for information about programming?
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On a scale of 1-10 how often do you access word of mouth for information about programming?
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On a scale of 1-10 how often do you access community bulletins for information about programming?
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On a scale of 1-10 how often do you access schools for information about programming?
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10
Is there another resource used to access information about programming not already listed (please indicate)
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