Ady’s Fins Registration

Name*
First Last
Email*
Phone*
Address*
Street Address City State ZIP Code
Child's Name*
First Last
Is this your child's first time to participate in Ady's Fins?*
- Yes, this is our first time!
- No
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!)
Which session do you wish to attend?*
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.
Accepted file types: jpg, gif, png, jpeg, bmp.
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 to solicit donations for Ady's Symphony.
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.
Ady's Fins Deposit
Credit Card*
Card Details
Cardholder Name
Our newsletter is a great resource to stay in touch with the latest news about Ady's Army and upcoming events, such as Ady's Fins. Would you like to subscribe?
Yes, please subscribe me!
Comments
This field is for validation purposes and should be left unchanged.