Evo Swim School Online Registration

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Welcome to EVO Swim School! Please complete this pre-registration form. No payments or enrollments will happen at this time. However, after you submit this form you will be prompted to call 480-404-6191 to complete your enrollment. WHEN INPUTING YOUR FORM OF PAYMENT PLEASE BE AWARE OF THE FOLLOWING. (1) Visa, MC, and Discover will be assessed a 2.59% surcharge on payment amounts. (2) E-check bank draft are FREE of any surcharges. (4) We do not accept AMEX or debit cards of any kind. THANKS

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Contact #1

Contact #1 First Name*

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Contact #2

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Cell # Receive Text Message Notifications. By opting in, you agree to receive SMS messages from Evo Swim School. Standard message and data rates apply. Reply STOP to opt out

Email (Emails are kept confidential)

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Student #1

Student's First Name*

Last Name*

Student Gender*

Birth Date*

Student #2 (Show-Hide Details)

Student's First Name*

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Student Gender*

Birth Date*

Student #3 (Show-Hide Details)

Student's First Name*

Last Name*

Student Gender*

Birth Date*

Student #4 (Show-Hide Details)

Student's First Name*

Last Name*

Student Gender*

Birth Date*

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Student's First Name*

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Birth Date*

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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

Student #2 (Show-Hide Details)

Student #3 (Show-Hide Details)

Student #4 (Show-Hide Details)

Student #5 (Show-Hide Details)

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