Starfish Aquatic Club Online Registration

Registration

Already a customer? Click here to login.

Thank you for choosing Starfish Aquatic Club, Inc.

If you have any questions about your enrollment, please either call us at 732-595-7946 or Email us at info@starfishstaff.com.

Starfish Aquatic Club follows an autoenrollment format for all lessons EXCEPT outdoor and Pay as You Go Lessons.

All students MUST COMPLETE 8 consecutive weeks of lessons before dropping

* denotes required fields

Referral Information

How did you hear about us?*

Referral Name*

Family Information

Family Last Name*

Where do you live?

Home Address*

City*

State*

Zip*

Primary Phone*

Contact #1

Contact #1 First Name*

Last Name *

Type*

How Can We Contact You?

Home Phone *

Work #

Cell # Receive Text Message Notifications

Portal Access (your email is your login)

Email* (Emails are kept confidential)

Confirm Email*

Portal Account Password

Confirm Portal Account Password

Contact #2

Contact #2 First Name

Last Name

Type

How can we contact you?

Home Phone

Work #

Cell # Receive Text Message Notifications

Email (Emails are kept confidential)

Confirm Email

Student #1

Student's First Name*

Last Name*

Student Gender*

Birth Date*

Additional Info

Disabilities (Leave blank if NONE)

Special Needs (Leave blank if NONE)

Allergies (Leave blank if NONE)

Medications (Leave blank if NONE)

**Starfish Aquatic Club follows an autoenrollment format. Once your student is enrolled, they will be be automatically enrolled until you submit a drop request. All students MUST COMPLETE 8 consecutive weeks of lessons before dropping.**
If you are trying to enroll 2 kids in a semiprivate lesson, please follow these instructions:
Please enroll ONE student into the class, and then contact us through email at info@starfishstaff.com to add in the second student. Please include the following when contacting us to enroll the second student: Student name, birthday, guardian name, mailing address, phone number and email address. *Starfish Aquatic Club reserves the right to separate children into private lessons, or prohibit semiprivate classes that are too large of an age gap to allow for effective instruction*

Enroll in Classes

I would like to Trial this class

I would like to Trial this class

I would like to Trial this class

I would like to Trial this class

I would like to Trial this class

I would like to Trial this class

I would like to Trial this class

I would like to Trial this class

I would like to Trial this class

I would like to Trial this class

I would like to Trial this class

I would like to Trial this class

I would like to Trial this class

I would like to Trial this class

I would like to Trial this class

Select Class
Maximum number of enrollments reached.
Please use the parent portal to enroll in an unlimited number of classes.

Student #2 (Show-Hide Details)

Student's First Name*

Last Name*

Student Gender*

Birth Date*

Additional Info

Disabilities (Leave blank if NONE)

Special Needs (Leave blank if NONE)

Allergies (Leave blank if NONE)

Medications (Leave blank if NONE)

**Starfish Aquatic Club follows an autoenrollment format. Once your student is enrolled, they will be be automatically enrolled until you submit a drop request. All students MUST COMPLETE 8 consecutive weeks of lessons before dropping.**
If you are trying to enroll 2 kids in a semiprivate lesson, please follow these instructions:
Please enroll ONE student into the class, and then contact us through email at info@starfishstaff.com to add in the second student. Please include the following when contacting us to enroll the second student: Student name, birthday, guardian name, mailing address, phone number and email address. *Starfish Aquatic Club reserves the right to separate children into private lessons, or prohibit semiprivate classes that are too large of an age gap to allow for effective instruction*

Enroll in Classes

I would like to Trial this class

I would like to Trial this class

I would like to Trial this class

I would like to Trial this class

I would like to Trial this class

I would like to Trial this class

I would like to Trial this class

I would like to Trial this class

I would like to Trial this class

I would like to Trial this class

I would like to Trial this class

I would like to Trial this class

I would like to Trial this class

I would like to Trial this class

I would like to Trial this class

Select Class
Maximum number of enrollments reached.
Please use the parent portal to enroll in an unlimited number of classes.

Student #3 (Show-Hide Details)

Student's First Name*

Last Name*

Student Gender*

Birth Date*

Additional Info

Disabilities (Leave blank if NONE)

Special Needs (Leave blank if NONE)

Allergies (Leave blank if NONE)

Medications (Leave blank if NONE)

**Starfish Aquatic Club follows an autoenrollment format. Once your student is enrolled, they will be be automatically enrolled until you submit a drop request. All students MUST COMPLETE 8 consecutive weeks of lessons before dropping.**
If you are trying to enroll 2 kids in a semiprivate lesson, please follow these instructions:
Please enroll ONE student into the class, and then contact us through email at info@starfishstaff.com to add in the second student. Please include the following when contacting us to enroll the second student: Student name, birthday, guardian name, mailing address, phone number and email address. *Starfish Aquatic Club reserves the right to separate children into private lessons, or prohibit semiprivate classes that are too large of an age gap to allow for effective instruction*

Enroll in Classes

I would like to Trial this class

I would like to Trial this class

I would like to Trial this class

I would like to Trial this class

I would like to Trial this class

I would like to Trial this class

I would like to Trial this class

I would like to Trial this class

I would like to Trial this class

I would like to Trial this class

I would like to Trial this class

I would like to Trial this class

I would like to Trial this class

I would like to Trial this class

I would like to Trial this class

Select Class
Maximum number of enrollments reached.
Please use the parent portal to enroll in an unlimited number of classes.

Student #4 (Show-Hide Details)

Student's First Name*

Last Name*

Student Gender*

Birth Date*

Additional Info

Disabilities (Leave blank if NONE)

Special Needs (Leave blank if NONE)

Allergies (Leave blank if NONE)

Medications (Leave blank if NONE)

**Starfish Aquatic Club follows an autoenrollment format. Once your student is enrolled, they will be be automatically enrolled until you submit a drop request. All students MUST COMPLETE 8 consecutive weeks of lessons before dropping.**
If you are trying to enroll 2 kids in a semiprivate lesson, please follow these instructions:
Please enroll ONE student into the class, and then contact us through email at info@starfishstaff.com to add in the second student. Please include the following when contacting us to enroll the second student: Student name, birthday, guardian name, mailing address, phone number and email address. *Starfish Aquatic Club reserves the right to separate children into private lessons, or prohibit semiprivate classes that are too large of an age gap to allow for effective instruction*

Enroll in Classes

I would like to Trial this class

I would like to Trial this class

I would like to Trial this class

I would like to Trial this class

I would like to Trial this class

I would like to Trial this class

I would like to Trial this class

I would like to Trial this class

I would like to Trial this class

I would like to Trial this class

I would like to Trial this class

I would like to Trial this class

I would like to Trial this class

I would like to Trial this class

I would like to Trial this class

Select Class
Maximum number of enrollments reached.
Please use the parent portal to enroll in an unlimited number of classes.

Student #5 (Show-Hide Details)

Student's First Name*

Last Name*

Student Gender*

Birth Date*

Additional Info

Disabilities (Leave blank if NONE)

Special Needs (Leave blank if NONE)

Allergies (Leave blank if NONE)

Medications (Leave blank if NONE)

**Starfish Aquatic Club follows an autoenrollment format. Once your student is enrolled, they will be be automatically enrolled until you submit a drop request. All students MUST COMPLETE 8 consecutive weeks of lessons before dropping.**
If you are trying to enroll 2 kids in a semiprivate lesson, please follow these instructions:
Please enroll ONE student into the class, and then contact us through email at info@starfishstaff.com to add in the second student. Please include the following when contacting us to enroll the second student: Student name, birthday, guardian name, mailing address, phone number and email address. *Starfish Aquatic Club reserves the right to separate children into private lessons, or prohibit semiprivate classes that are too large of an age gap to allow for effective instruction*

Enroll in Classes

I would like to Trial this class

I would like to Trial this class

I would like to Trial this class

I would like to Trial this class

I would like to Trial this class

I would like to Trial this class

I would like to Trial this class

I would like to Trial this class

I would like to Trial this class

I would like to Trial this class

I would like to Trial this class

I would like to Trial this class

I would like to Trial this class

I would like to Trial this class

I would like to Trial this class

Select Class
Maximum number of enrollments reached.
Please use the parent portal to enroll in an unlimited number of classes.

Add Another Student

Required Policies

(Show-Hide Details)

I Agree to All of the Above

Enter your Full Name* October 31, 2024

Questions or Concerns

Comments

Payment Information

Registration

Referral Information

Family Information

Where do you live?

Contact #1

How Can We Contact You?

Portal Access (your email is your login)

Contact #2

How can we contact you?

Student #1

Additional Info

Enroll in Classes

Student #2 (Show-Hide Details)

Additional Info

Enroll in Classes

Student #3 (Show-Hide Details)

Additional Info

Enroll in Classes

Student #4 (Show-Hide Details)

Additional Info

Enroll in Classes

Student #5 (Show-Hide Details)

Additional Info

Enroll in Classes

Required Policies (Show-Hide Details)

I Agree to All of the Above

Questions or Concerns

Payment Information

Required Policies

(Show-Hide Details)