Swim Lessons - Swim Lessons Registration Form

Swim Lessons Registration Form

About You
Parent Name(s)*
Street Address*
City*
Postal Code*
Phone*
Cell Phone
Email*
Emergency Contact
Name*
Phone*
About Your Pool
Your pool*
- In-ground
- Above ground
- Heated
About the Swimmer(s)
Swimmer 1 Name*
Swimmer 1 Age*
Level*
Allergies / Medical Conditions
Swimmer 2 Name
Swimmer 2 Age
Level
Allergies / Medical Conditions
Swimmer 3 Name
Swimmer 3 Age
Level
Allergies / Medical Conditions
Swimmer 4 Name
Swimmer 4 Age
Level
Allergies / Medical Conditions
Swimmer 5 Name
Swimmer 5 Age
Level
Allergies / Medical Conditions
Swimming Sessions
Please select preferred session week and then select preferred times.
Session Weeks
Preferred Lesson Time - First Choice
Preferred Lesson Time - Second Choice
Preferred Session Length*
- 30 minutes
- 45 minutes
- 1 hour
Create my own schedule
Dates and Times
Please enter the weeks and times you are interested in for a custom schedule.