Registration


Welcome to SPLASH! Swim + Wellness! When all required fields are filled out completely, you will be redirected to your Parent Portal, where you can view the schedule and register. If you have any questions, please give us a call at 262-512-7946 and we would be happy to assist!

*   denotes required fields

Referral Information
Family Information
Where do you live?
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)
Required Policies
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Questions or Concerns
Payment Information
Credit Card