Swimming Course Registration Form
To register for swim course sessions, please complete the form below and submit it, along with your $55 course fee, using the following directions:
1. Give student information on
the form. (If the student is a young child, the parent
may complete, print,
and sign the form.)
2. Please do NOT fill the box for office use only.
3. Please choose the session and time preferred for class.
4. Send completed registration form and check for $55.00 made payable to Chipola College.
Please include Drivers License number on your check.
5. Mail to:
c/o Rance Massengill
3094 Indian Circle
Marianna, Fl. 32446.
6. Or you can bring your completed form and pay at the Pool.
7. For more information call Rance Massengill at 718-2440 or 718-2473.