Registration


United States Swim Academy Registration Form Please fill out the form below to start swimming with us today! Call us at 954-509-0089 We are here to help you. Thank You, for trusting us to train your child to be safer in and around the water. Sincerely, Coach Karen King - Director & Owner of United States Swim Academy Coral Springs Florida.

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Referral Information
Family Information
Where do you live?
Click to Enter an International Number
Additional Info
Contact #1
How Can We Contact You?
Click to Enter an International Number
Click to Enter an International Number
Click to Enter an International Number
Portal Access (your email is your login)
(Emails are kept confidential)
Contact #2
How can we contact you?
Click to Enter an International Number
Click to Enter an International Number
Click to Enter an International Number
(Emails are kept confidential)
Student #1
(format=mm/dd/yyyy)
Additional Info
Required Policies and Agreements
I Agree to All of the Above
Questions or Concerns
Payment Information
Credit Card