Stony Creek Swim Center Online Registration

Registration

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Sorry, but this class is no longer available.

New clients: Please complete the online registration form below to register for lessons or other SCSC programs. Current & past clients: Please contact us to transfer classes or click the Customer Portal link above to re-enroll your child. If you have questions regarding registration, please contact us at (317) 773-7399.

* denotes required fields

Referral Information

How did you hear about us?*

Referral Name

Family Information

Family Last Name Last Name*

Where do you live?

Home Address*

City*

State*

Zip*

Primary Phone*

Additional Info

Promotion Code

Contact #1

Primary Contact First Name*

Last Name *

Type (i.e. mother, father, etc.)*

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

Secondary Contact First Name

Last Name

Type (i.e. grandparent, nanny, etc.)

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

Disabilites (leave blank if none)

Special Needs (leave blank if none)

Allergies (leave blank if none)

Date student will start*

Click the "Search" button below to find the correct class or program. After selecting, please agree to the policies and provide payment information at the bottom of the registration screen. Contact us at (317) 773-7399 with questions.

Enroll in Classes

Select Class

Student #2 (Show-Hide Details)

Student's First Name*

Last Name*

Student Gender*

Birth Date*

Additional Info

Disabilites (leave blank if none)

Special Needs (leave blank if none)

Allergies (leave blank if none)

Date student will start*

Enroll in Classes

Select Class

Student #3 (Show-Hide Details)

Student's First Name*

Last Name*

Student Gender*

Birth Date*

Additional Info

Disabilites (leave blank if none)

Special Needs (leave blank if none)

Allergies (leave blank if none)

Date student will start*

Enroll in Classes

Select Class

Student #4 (Show-Hide Details)

Student's First Name*

Last Name*

Student Gender*

Birth Date*

Additional Info

Disabilites (leave blank if none)

Special Needs (leave blank if none)

Allergies (leave blank if none)

Date student will start*

Enroll in Classes

Select Class

Student #5 (Show-Hide Details)

Student's First Name*

Last Name*

Student Gender*

Birth Date*

Additional Info

Disabilites (leave blank if none)

Special Needs (leave blank if none)

Allergies (leave blank if none)

Date student will start*

Enroll in Classes

Select Class

Add Another Student

Required Policies

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Questions or Concerns

Comments

Payment Information

Please fill out ONE of the following Payment Methods

Credit Card

Card Number

Exp Month

Exp Year

Card Nickname

Name as it appears on card

Address Line 1

Address Line 2

City

State

Zip

eCheck/Bank Draft

Bank Name

Account Type

Your Account Name (Your name on your bank statement)

Bank Routing Number (9-digit number)

Account Number

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Registration

Referral Information

Family Information

Where do you live?

Additional Info

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

Credit Card

eCheck/Bank Draft

Required Policies

(Show-Hide Details)