IF YOU ARE A CURRENT CUSTOMER, NO NEED TO FILL THIS FORM OUT. SIMPLY REACH OUT TO US AND WE CAN RUN IT DIRECTLY THROUGH YOUR SWIM ACCOUNT. New customers-purchase a gift certificate for your favorite lil swimmer in any amount using this form! Once you submit your order, we will process it and send you a confirmation email and receipt. Gift certificates are mailed or emailed within 24 hours or can be picked up at our front desk . All gift certificates expire December 2024. (Please ignore the request for an emergency contact by entering N/A in the box).
Start Date/Time: End Date/Time:
Fee per Family: Room:
* - denotes required fields
Family Information
First Name:* Last Name: *
Home Phone: Cell #: Work #:
Email:* (Emails are kept confidential)
Address: *
City: * State: * Zip: *
What amount would you like to purchase?*
Who is the gift certificate for?*
Who is the gift certificate from? (Include a short, personal message here if you choose)*
Are we mailing the gift certificate to the recipient?*
Mailing name and address.*
Additional Information:
Other Questions/Comments:
Credit Card Verification:
Card Number: *  
Name as it appears on card: *
Card Expiration Month: *   Exp Year: *
Address Line 1: Address Line 2:
City: State: Zip:*