Youth Swim Waitlist

If a slot opens up we will call you at the number provided.

Child's Name *

First

Last

Parent/Guardian Name *

First

Last

Email *

Phone *

Is your Child a Member of the Somerville YMCA? *

• Yes
• No

Level Wanted *Level 1Level 2Level 3/4Level 5

Day(s) Wanted *

• Tuesday
• Wednesday
• Thursday
• Saturday

If there are specific times you would like list them here, if not just put any *

Submit