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Aquatic Therapy is on Tuesday(s) from 4:00 - 4:45PM and 5:00 - 5:45PM and Thursday(s) at 5:00 - 5:45PM

Do you want to participate in Aquatic Therapy? NoYes

Open Swim is hosted on Thursdays from 5:00 - 5:45PM (Small children and parent only) and 6:00 - 6:45PM for all ages.

Do you want to participate in Open Swim? NoYes

This field is for grant and funding purposes only.

Ethnicity CaucasionBlack or African AmericanAsianAmerican Indian or Alaska NativeNative Hawaiian or Pacific Islander

Please indicate your age range

Youth - Birth to 3 years of ageYouth - 4 to 6 years of ageYouth - 7 to 13 years of ageAdolescent - 14 to 18 years of ageAdult - 19 to 25 years of ageAdult - 26 to 30 years of ageAdult - 31 to 40 years of ageAdult - 41 to 50 years of ageAdult over 50 years of age

I give permission for Wood County Society to utilize my photo/voice in promotional materials (Capital Campaign, Telethon, Social Media) to further our mission of providing abundance, compassion, accessibility and inclusion throughout the Mid-Ohio Valley!

NoYes