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Registration

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Swim Strong, Stand Out!

Should you enrol after the session has begun, we will prorate our fee and only charge you for the remaining lessons.

Payment is due at the time of registration

* 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*

Postal Code*

Primary Phone*

Additional Info

Emergency Contact Info*

Contact #1

Contact #1 First Name*

Last Name *

Specify*

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

First Name

Last Name

Type

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

Special Needs (Leave blank if NONE)

Allergies (Leave blank if NONE)

Medications (Leave blank if NONE)

Swim Experience*

Swim Program(s) Attended

Aquatic Goals

After you have reviewed the different swim levels and found a time that works best for you, please choose a class.

Please allow up to 48 hours for your registration to be processed. Once your registration has been finalized, you will receive a confirmation email.

Enroll in Classes

Select Class

Student #2 (Show-Hide Details)

Student's First Name*

Last Name*

Student Gender*

Birth Date*

Additional Info

Special Needs (Leave blank if NONE)

Allergies (Leave blank if NONE)

Medications (Leave blank if NONE)

Swim Experience*

Swim Program(s) Attended

Aquatic Goals

After you have reviewed the different swim levels and found a time that works best for you, please choose a class.

Please allow up to 48 hours for your registration to be processed. Once your registration has been finalized, you will receive a confirmation email.

Enroll in Classes

Select Class

Student #3 (Show-Hide Details)

Student's First Name*

Last Name*

Student Gender*

Birth Date*

Additional Info

Special Needs (Leave blank if NONE)

Allergies (Leave blank if NONE)

Medications (Leave blank if NONE)

Swim Experience*

Swim Program(s) Attended

Aquatic Goals

After you have reviewed the different swim levels and found a time that works best for you, please choose a class.

Please allow up to 48 hours for your registration to be processed. Once your registration has been finalized, you will receive a confirmation email.

Enroll in Classes

Select Class

Student #4 (Show-Hide Details)

Student's First Name*

Last Name*

Student Gender*

Birth Date*

Additional Info

Special Needs (Leave blank if NONE)

Allergies (Leave blank if NONE)

Medications (Leave blank if NONE)

Swim Experience*

Swim Program(s) Attended

Aquatic Goals

After you have reviewed the different swim levels and found a time that works best for you, please choose a class.

Please allow up to 48 hours for your registration to be processed. Once your registration has been finalized, you will receive a confirmation email.

Enroll in Classes

Select Class

Student #5 (Show-Hide Details)

Student's First Name*

Last Name*

Student Gender*

Birth Date*

Additional Info

Special Needs (Leave blank if NONE)

Allergies (Leave blank if NONE)

Medications (Leave blank if NONE)

Swim Experience*

Swim Program(s) Attended

Aquatic Goals

After you have reviewed the different swim levels and found a time that works best for you, please choose a class.

Please allow up to 48 hours for your registration to be processed. Once your registration has been finalized, you will receive a confirmation email.

Enroll in Classes

Select Class

Add Another Student

Required Policies

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Questions or Concerns

Comments

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

Required Policies

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