Pool Cool


Welcome to Pool Cool

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Registration

Please fill out all fields, including Email. Information will be used for program purposes only.

Contact Information

*Last Name:
*First Name:
*Organization:
*Title/Position:
*Mailing Address:

*City:
*State:
*Zip:
*Email:
*Phone:

Information About Your Organization

*What type of organization/location would you like to use the Pool Cool Materials at? (Check the ONE that best fits):
Public Pool (Municpal, Schools, etc.)
Private Pool (Country Club, Fitness Club, YMCA, HMA, etc.)
Backyard Pool
School Classroom
Church
Recreation Center
Camp or Club organization (Girl Scouts, etc.)
Other Please specify
   
*Where is the swimming pool(s) located? (Check the ONE that best fits):
Outdoor
Indoor
Both
   
*What is the age group of the kids you would like to use the materials with? (Check all that apply):
3-5
5-10
10-15
15+
   
*Approximately how many children do you anticipate being exposed to the materials? (Check the ONE that best fits):
0-10
10-50
50-100
100+
   
*Where did you learn about the POOL COOL Program (e.g. friend, colleague, tv, website, publication, conference)?
   
By checking this box you agree to the Terms and Conditions. Read the Terms and Conditions.