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Are You An Adult That Never Learned How To Swim?

Are you an adult that never learned how to swim? Are you embarrassed to go on a vacation that involves water? Do you avoid pools and beaches? Want to put your fear to rest for once and all? If this sounds like you or someone you know, tell us your story. Please remember to include details and your contact information. The Doctors wants to hook you up with the tools you need to be Michael Phelps in no time!

Tell us your story here:

Please type your contact information below:

first name:	*
last name:	*
birthday:	*
E-mail address:	*
street address:	*
additional address:
city:	*
state:	*
province/Region (if not in U.S.):
zip/Postal code:	*
country:	*
day phone:	*
evening phone:
cell phone:
are you willing to appear on the show:	Yes No *
children's ages?:

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