Registration


Welcome to Water Babies USA! Please complete the below form to set-up your Family Portal.

*   denotes required fields

Referral Information
Family Information
Where do you live?
Additional Info
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
 (Show-Hide Details)
Questions or Concerns
Payment Information
Credit Card
eCheck/Bank Draft
(Your name on your bank statement)
(9-digit number)