Quality Swimming Online Registration

Registration

Already a customer? Click here to login.

Welcome to Quality Swimming! Please enter your contact and student(s) information below. You may view our class schedule and enroll in a class below. Credit cards are NOT charged at this time. Enrollments are reviewed for accuracy before being processed.

* denotes required fields

Referral Information

How did you hear about us?*

Referral Name

Family Information

Family Last Name*

Where do you live?

Home Address*

City*

State*

Zip*

Primary Phone*

Additional Info

Emergency Contact Info

Contact #1

Contact #1 First Name*

Last Name *

Type*

How Can We Contact You?

Home Phone *

Work #

Cell #

Receive Text Message Notifications. By opting in, you agree to receive SMS messages from Quality Swimming. Standard message and data rates apply. Reply STOP to opt out

Portal Access (your email is your login)

Email* (Emails are kept confidential)

Confirm Email*

Portal Account Password

Confirm Portal Account Password

Contact #2

Contact #2 First Name

Last Name

Type

How can we contact you?

Home Phone

Work #

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

Email (Emails are kept confidential)

Confirm Email

Student #1

Student's First Name*

Last Name*

Student Gender*

Birth Date*

Additional Info

School

Grade Level

Disabilites - Leave Blank if None

Special Needs- Leave Blank if None

Allergies - Leave Blank if None

Photos/Videos? Yes/No*

Click "Select Class" to view the schedule and enroll in a class. If you select a class that there is a wait list for, we will contact you to see if we can assist you in finding another class.

Enroll in Classes

Select Class

Student #2 (Show-Hide Details)

Student's First Name*

Last Name*

Student Gender*

Birth Date*

Additional Info

School

Grade Level

Disabilites - Leave Blank if None

Special Needs- Leave Blank if None

Allergies - Leave Blank if None

Photos/Videos? Yes/No*

Click "Select Class" to view the schedule and enroll in a class. If you select a class that there is a wait list for, we will contact you to see if we can assist you in finding another class.

Enroll in Classes

Select Class

Student #3 (Show-Hide Details)

Student's First Name*

Last Name*

Student Gender*

Birth Date*

Additional Info

School

Grade Level

Disabilites - Leave Blank if None

Special Needs- Leave Blank if None

Allergies - Leave Blank if None

Photos/Videos? Yes/No*

Click "Select Class" to view the schedule and enroll in a class. If you select a class that there is a wait list for, we will contact you to see if we can assist you in finding another class.

Enroll in Classes

Select Class

Student #4 (Show-Hide Details)

Student's First Name*

Last Name*

Student Gender*

Birth Date*

Additional Info

School

Grade Level

Disabilites - Leave Blank if None

Special Needs- Leave Blank if None

Allergies - Leave Blank if None

Photos/Videos? Yes/No*

Click "Select Class" to view the schedule and enroll in a class. If you select a class that there is a wait list for, we will contact you to see if we can assist you in finding another class.

Enroll in Classes

Select Class

Student #5 (Show-Hide Details)

Student's First Name*

Last Name*

Student Gender*

Birth Date*

Additional Info

School

Grade Level

Disabilites - Leave Blank if None

Special Needs- Leave Blank if None

Allergies - Leave Blank if None

Photos/Videos? Yes/No*

Click "Select Class" to view the schedule and enroll in a class. If you select a class that there is a wait list for, we will contact you to see if we can assist you in finding another class.

Enroll in Classes

Select Class

Add Another Student

Required Policies

(Show-Hide Details)

Questions or Concerns

Comments

Payment Information

Credit Card

Card Number *

Exp Month *

Exp Year *

Card Nickname

Name as it appears on card *

Address Line 1

Address Line 2

City

State

Zip*

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

Additional Info

Enroll in Classes

Student #2 (Show-Hide Details)

Additional Info

Enroll in Classes

Student #3 (Show-Hide Details)

Additional Info

Enroll in Classes

Student #4 (Show-Hide Details)

Additional Info

Enroll in Classes

Student #5 (Show-Hide Details)

Additional Info

Enroll in Classes

Required Policies (Show-Hide Details)

I Agree to All of the Above

Questions or Concerns

Payment Information

Credit Card

Required Policies

(Show-Hide Details)