Registration


Submission of this form will create an online parent portal account for your family via our booking system. This is NOT your actual class request form, you are simply creating an account. At the bottom of this form you will be asked for your credit card information. Swim Tank will NOT charge your card until 24 hours AFTER you receive your class confirmation. You will have 24 hours to decline the class placement that you receive.

*   denotes required fields

Referral Information
Family Information
Where do you live?
Contact #1
How Can We Contact You?
Portal Access (your email is your login)
(Emails are kept confidential)
Contact #2
How can we contact you?
(Emails are kept confidential)
Student #1
Additional Info
Required Policies
 (Show-Hide Details)
Questions or Concerns
Payment Information
Credit Card