Ady’s Fins Registration

Your Name

Your Email

Your Phone

Child's Name

Address

City

State

ZIP Code

We are excited to be able to offer multiple sessions this year! Below, please select the session that you wish to attend. Your options are:

Pulaski from 10/12 - 10/17
Decatur from 10/19 - 10/24
Birmingham Session #1 from 10/26 - 10/31
Birmingham Session #2 from 11/2 - 11/7
Birmingham - Either Session #1 or #2 (please select if you are flexible on the date to attend!)

Session

Please let us know your child's story and why Ady's Fins is important to him/her.

Please submit a picture of your child.

_{By submitting a picture, you are giving Ady's Army to use your story and/or image for marketing purposes.}

Please note!
If your child is selected, you are giving Ady's Army permission to use your story solicit donations for Ady's Fins. Filling out the registration form does not guarantee a spot. Due to the high demand, we require a $50 deposit that is 100% refundable as long as the participant shows up for their lessons.