Only a minor student's legal guardian or adult student should complete this registration form.
 * BDA will not charge your credit card until services are scheduled and an invoice is sent. *

After filling out this registration, you may:
   REQUEST LESSONS from the portal
   make Swim Team PRACTICE SELECTIONS from the portal
   ENROLL for select classes from the website or portal

*   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
Additional Info
Required Policies and Agreements
 (Show-Hide Details)
I Agree to All of the Above
Questions or Concerns
Payment Information
Credit Card