Registration


2018 Swim Class Registration - *IMPORTANT!* Please list the DATE you would like to start swimming & all the dates you cannot swim in the "COMMENT" field at the bottom of this registration page. Also, please list ALL YOUR AVAILABLE HOURS for each day in the fields provided below. The more available you are, the quicker we can get you in.

*   denotes required fields

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)
Who is your employer?
Click to Enter an International Number
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)
Who is your employer?
Click to Enter an International Number
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