2. 

4. 2025 Swim Lesson Application

   Registration opens April 1, 2025

6. Note: Registration is incomplete until payment is made. Payments must be made at the McPherson Water Park via cash or card. Payments can be made beginning April 1 at the McPherson Water Park, 511 N. Lakeside Drive from 10 a.m. to 5 p.m. Monday through Friday. 

   
   

   Classes are Monday through Thursday (Friday is left open as a makeup day in case of inclement weather). Options in each session are from 9 to 9:45 a.m. and from 10 a.m. to 10:45 a.m. Session 1 runs from June 9 to June 20; Session 2 from June 23 to July 3; Session 3 from July 7 to July 18; Session 4 from July 21 to Aug. 1. 

   Click here to read more information about which session your participant should be enrolled in. If you'd prefer, you can print out this form and physically bring it to the McPherson Water Park beginning April 1 at 511 N. Lakeside Drive. 

8. Parent/Legal Guardian (Person filling out registration)*
10. Address (Street, City, Zip)*
12. Mailing address (If different)
14. Email address*
15. Preferred phone number*
19. Participant #1 Full Name (First & Last) *
21. Date of birth *
    Date of birth
22. Grade this coming fall (if applicable)
24. 5 & up level (if applicable)
    -- Select One --123456

    Click here for level explanation 

25. Please select session*
    -- Select One --June 9 to June 20 June 23 - July 3July 7 to July 18 July 21 to Aug. 1
27. Select time slot *
    -- Select One --9 a.m. to 9:45 a.m.10 a.m. to 10:45 a.m.

31. Note: If you are wanting one swimmer to participate in consecutive sessions, you will need to visit with staff about availability after their first session is complete. Please do not sign up one swimmer for two sessions at pre-registration.

33. Participant #2 Full Name (First & Last)
35. Date of birth
    Date of birth
36. Grade this coming fall (if applicable)
38. 5 & up level (if applicable)
    -- Select One --123456
39. Please select session
    -- Select One --June 9 to June 20 June 23 to July 3July 7 to July 18 July 21 to Aug. 1
41. Select time slot
    -- Select One --9 a.m. to 9:45 a.m.10 a.m. to 10:45 a.m.
45. Participant #3 Full Name (First & Last)
47. Date of birth
    Date of birth
48. Grade this coming fall (if applicable)
50. 5 & up level (if applicable)
    -- Select One --123456
51. Please select session
    -- Select One --June 9 to June 20 June 23 to July 3July 7 to July 18 July 21 to Aug. 1
53. Select time slot
    -- Select One --9 a.m. to 9:45 a.m.10 a.m. to 10:45 a.m.
55. Notice

    General Release: My signature below indicates I have read, understand, and will comply with all department rules and regulations and that all information I have provided is true and accurate. False information or violation of rules and regulations will lead to revocation of pool ID cards and loss of park/pool privileges. Furthermore, the undersigned hereby releases the City of McPherson, its city officials, Public Lands and Facilities Department, employees, and volunteers thereof, of any responsibilities should an accident or injury occur to the above-named participant as a result of participation in the aforementioned program sponsored by the Public Lands and Facilities Department. I understand the department may use photos taken during events unless I notify them in writing.

57. Signature*
58. Date Signed*
    Date Signed
Leave This Blank:


60. 1. Receive an email copy of this form.
61. Email address

    This field is not part of the form submission.

62. Submit

* indicates a required field