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?
Additional Info
Contact #1
How Can We Contact You?
Portal Access (your email is your login)
(Emails are kept confidential)
Contact #2
How can we contact you?
(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