Swim With Phyn Online Registration

Registration

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Sorry, but this class is no longer available.

If you have an account, click the red text above! Your spot is not reserved until you press the SUBMIT button, and someone else may be further down the form than you - occasionally this means they get the last spot before you. Your email will clearly say (NOT enrolled) if this happens. The reason for this is that people will often abandon the process midway through - and this allows the people who complete the process first to get the classes first.

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Referral Information

How did you hear about us?

Referral Name

Family Information

(Account) Child's Last Last Name*

Where do you live?

Home Address*

City*

State*

Zip*

Primary Phone*

Additional Info

Emergency Contact Info (not required)

Contact #1

Contact #1 First Name*

Last Name *

Relation to Student*

How Can We Contact You?

Home Phone *

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 (not required) First Name

Last Name

Relation to Student

How can we contact you?

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

T-Shirt Size

Please only choose OPEN classes you wish to register for. This is NOT a list of preferences, so you will be enrolled in all the open classes you choose. If you are registering for a Wait List - please DO choose more than one wait list if it works for you - we encourage you to be on as many as work for you to increase your chances of getting into a class. See our FAQs for what it means to be on a wait list. Waitlists will be clearly marked here as (Wait List).

Enroll in Classes

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Student #2 (Show-Hide Details)

Student's First Name*

Last Name*

Student Gender*

Birth Date*

Additional Info

T-Shirt Size

Enroll in Classes

Select Class

Student #3 (Show-Hide Details)

Student's First Name*

Last Name*

Student Gender*

Birth Date*

Additional Info

T-Shirt Size

Enroll in Classes

Select Class

Student #4 (Show-Hide Details)

Student's First Name*

Last Name*

Student Gender*

Birth Date*

Additional Info

T-Shirt Size

Enroll in Classes

Select Class

Student #5 (Show-Hide Details)

Student's First Name*

Last Name*

Student Gender*

Birth Date*

Additional Info

T-Shirt Size

Enroll in Classes

Select Class

Add Another Student

Required Policies

(Show-Hide Details)

Questions or Concerns

Comments

Payment Information

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*

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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

Required Policies

(Show-Hide Details)