Registration


Welcome to The Aqua Life Swim Academy Registration! Kindly provide your information below and click Submit when complete. You will only need to register once.

*   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)
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)
Student #1
(format=dd/mm/yyyy)
Additional Info

After you have reviewed the different swim levels and found a time that works best for you, please choose a class:

Enroll in Classes
Select Class
Required Policies and Agreements
I Agree to All of the Above
Questions or Concerns
Payment Information
Credit Card