Registration
Make your little swimmer’s day sparkle with a gift basket full of swim-tastic treasures! Inside are a $100 Five Star Gift Certificate, our cozy signature towel, a roomy tote bag, a plush Tickle toy, and a Five Star pen — all in a charming seagrass basket. (Basket contents may vary.)
Event:
Start Date/Time: End Date/Time:
Fee per Student: Room:
* - denotes required fields
Guardian Information
First Name:* Last Name: *
Home Phone:* Cell #: Work #:
Email:* (Emails are kept confidential)
 
Address: *
City: * State: * Zip: *
 
 
Students entered below will be added to your family's account
 
Questions/Options:
How many baskets would you like to purchase?*
 
Additional Information:
 
TERMS AND CONDITIONS
  (Show-Hide Details)
I've read the above and agree.
 
NO REFUNDS
  (Show-Hide Details)
I've read the above and agree.
 
CODE OF CONDUCT
  (Show-Hide Details)
I've read the above and agree.
 
WAIVER
  (Show-Hide Details)
I've read the above and agree.
 
Enter your Full Name: *   
 
Other Questions/Comments:
 
Credit Card Verification:
   
Card Number:  
Name as it appears on card:
Nickname:
Card Expiration Month:   Exp Year:
Address Line 1: Address Line 2:
City: State: Zip: