WALK-UPS WILL NOT BE ACCEPTED THIS YEAR!

Date: June 29, 2024

Location: Lake Quassapaug, 2123 Middlebury Road, Middlebury, CT 06762

Time: 10:30am check-in begins, park opens at 11:00a. Check the CT Swim website for food & beverage schedule.

Deadline: 3:00p - June 24, 2024

Note, this is a HARD deadline. The venue needs our group size to prepare. I will NOT be able to accept any more patrons after this date, no matter how sad you are.

Included in your ticket price is access to rides, water park, food and beverages throughout the day, parking and pavilion access.

Note: You reservation will listed under the person you enter below.

Last Name for this reservation:*

First name for this reservation*

Email for the reservation:*

Total number of people attending MUST EQUAL ALL PAID GUESTS:*

My CT Swim athlete or non-athlete registration date

CT Swim Registered adults, athletes, officials, coaches:

12/Unders: $20

13/Overs: $25

Non CT Swim Registered adults and kids:

12/Unders: $42

13/Overs: $52

CT Swim Registered athletes, adults, coaches, officials

CT Swim Registered Name #1 (full name):

List all other CT Swim Registered individuals here:

Please only numbers in the boxes below. NO SPACES.

Number of CT Swim Registered 13/overs (including adults):

Number of CT Swim Registered 12/Unders:

Number of NON-Registered 13/overs (including adults):

Number of NON-Registered 12/Unders:

Payment by Credit Card ONLY.* Credit Card

By selecting credit card payment, you will be automatically directed to the payment site.

I understand that kids 12 years and under need to be accompanied by an adult that is not provided by CT Swimming. * Yes

I attest that everyone I listed as USA CT member is truthful:* Yes

I understand that once I hit submit, there are no refunds.* Yes

PLEASE KEEP YOUR RECEIPT which is emailed to you, AS PROOF OF PURCHASE.

(What is this for?)