Announcements
Events Calendar
Residence Verification Form
Pool Schedule
Party Rental
Hello,
WELCOME
Our Mission
Announcements
Events Calendar
Try our
SWIM SCHOOL
Kids Swim Lessons
Adult Swim Lessons
Community
SWIMMING
Lap Swim
Open Swim
Swim Pro
Masters Swim
Recreation Therapy
PASA – Palo Alto Swim Club
Join Summer
CAMPS
Camp Rinconada
Camp Rinconada Jr
Jr Lifeguard Challenge
Holiday Camp
Get in
CONTACT
Registration Cancellation Form
Employment
BBAF Submission Form
Welcome
Our Mission
Announcements
Events Calendar
Swimming
Open Swim
Lap Swim
Swim Pro
Masters Swim
Recreation Therapy
PASA – Palo Alto Swim Club
Swim School
Kids Swim Lessons
Adult Swim Lessons
Camps
Camp Rinconada
Camp Rinconada Jr
Jr Lifeguard Challenge
Holiday Camp
Contact
Registration Cancellation Form
Employment
BBAF Submission Form
Announcements
Events Calendar
Residence Verification Form
Pool Schedule
Party Rental
Registration Cancellation Form
Employment
BBAF Submission Form
BBAF Submission Form
Name of Participant
Name of Participant
*
First
Last
Gender
Gender
*
Male
Female
Current Age
*
Current Age
1
2
3
4
5
6
7
8
9
10
11
12
13
14
15
16
17
Grade in school next fall
*
Grade in school next fall
Not in school yet
Preschool
Kindergarten
Transistional Kindergarten
1
2
3
4
5
6
7
8
9
10
11
12
School to be attended next fall
*
Which programs would you be interested in?
Which programs would you be interested in?
*
Swim School
Camp Rinconada Aquatics Camp
Parent/Guardian Information
Name of Parent/Guardian
Name of Parent/Guardian
*
First
Last
Home Phone or Cell Phone Number
*
Address
Address
*
Street Address
Address Line 2
City
State / Province / Region
ZIP / Postal Code
Parent/Guardian Email Address
*
How many individuals live in your household?
*
How many individuals live in your household?
1
2
3
4
5
6
7
8
9
10+
*Required Information
Combined household income for the last 12 months:
*
**Required information. See diagram below for further explanation. Enter combined income OR color.
Would you be willing to share your story with us?
Would you be willing to share your story with us?
*
Yes
No
Voluntary Information
Race or Ethnic Group
Race or Ethnic Group
American Indian/Alaskan
Hispanic/Latino
White/Caucasian
Asian/Pacific Islander
Black/African American
Other
Preferred Language
Preferred Language
English
Spanish
Chinese
Tongan
Other
Consent & Agreement
Consent
Consent
*
Checking this box states that all of the above statements are true
Date
Date
Date Format: MM slash DD slash YYYY
This iframe contains the logic required to handle Ajax powered Gravity Forms.
Rinconada Pool:
777 Embarcadero Road., Palo Alto, CA 94301
Phone:
650-463-4914