Registration
Unlock your child's potential in the water with our accelerated swim program! We focus on building confidence, refining technique, and enhancing safety skills. Program Features: -4 lessons during one week -Enhance your swim skills -Make fast progress -Boost Confidence -Commitment free!
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:
I hereby give FIVE STAR SWIM permission to use pictures taken of me or my child(ren) while on the premises for online advertisement, print advertisement, marketing material, and/or on social media*
What is your child's swim skill level?*
What are your preferred days and times?*
A manager will reach out to you shortly to help select your days and times. Do you have any questions in the meantime?*
 
Additional Information:
 
DESCRIPTIONS OF SERVICES
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CODE OF CONDUCT
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PROGRAM FEE
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NO REFUNDS
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NO MAKEUP LESSONS
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INSTRUCTORS
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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:*