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Pacific Sands Cabana Club Stroke Instruction Class Child Name: ___ ___ ___ FirstCost: $50 Gender: MMIAge on 6/1/19: ___ FLastDate of Birth: ___ /___ /___Swimming Ability: 1 2 3 4 5(Circle One) 1weak

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Visit the Pacific Sands Cabana Club website or contact them directly to inquire about membership.

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