Sunshine Swim and Fitness Center Online Registration

Registration

Already a customer? Click here to login.

Welcome to the Sunshine Swim Center online registration page. If you are new to the Sunshine Swim Center, you will be creating an account by completing this form. If you have been a part of our programs in the past, please use the "Already a Customer" link highlighted in red above.

* denotes required fields

Referral Information

How did you hear about us?*

Referral Name

Family Information

Where do you live?

Home Address*

City*

State*

Zip*

Primary Phone*

Additional Info

Emergency Contact Info<br/>(Not Contact #1 or #2.)*

Contact #1

Contact #1 First Name*

Last Name *

How Can We Contact You?

Portal Access (your email is your login)

Email* (Emails are kept confidential)

Confirm Email*

Portal Account Password

Confirm Portal Account Password

Student #1

Student's First Name*

Last Name*

Student Gender*

Birth Date*

Additional Info

Disabilities (Leave blank if NONE)

Special Needs (Leave blank if NONE)

Allergies (Leave blank if NONE)

Class Registration For All Programs: Swim Lessons Classes can more easily be searched for by selecting the session title and dates. Swim Assessments can be filtered by selecting Swim Assessment.

Attention: If you do not see the class you are looking for it is sold out for the dates you are considering. You may search under a different session or give us a call to add you to a waitlist.

SKIP "Select a Class" if you are unsure of your swimmers level. Please complete the rest of the form and then give us a call.

Enroll in Classes

Select Class

Student #2 (Show-Hide Details)

Student's First Name*

Last Name*

Student Gender*

Birth Date*

Additional Info

Disabilities (Leave blank if NONE)

Special Needs (Leave blank if NONE)

Allergies (Leave blank if NONE)

Class Registration For All Programs: Swim Lessons Classes can more easily be searched for by selecting the session title and dates. Swim Assessments can be filtered by selecting Swim Assessment.

Attention: If you do not see the class you are looking for it is sold out for the dates you are considering. You may search under a different session or give us a call to add you to a waitlist.

SKIP "Select a Class" if you are unsure of your swimmers level. Please complete the rest of the form and then give us a call.

Enroll in Classes

Select Class

Student #3 (Show-Hide Details)

Student's First Name*

Last Name*

Student Gender*

Birth Date*

Additional Info

Disabilities (Leave blank if NONE)

Special Needs (Leave blank if NONE)

Allergies (Leave blank if NONE)

Class Registration For All Programs: Swim Lessons Classes can more easily be searched for by selecting the session title and dates. Swim Assessments can be filtered by selecting Swim Assessment.

Attention: If you do not see the class you are looking for it is sold out for the dates you are considering. You may search under a different session or give us a call to add you to a waitlist.

SKIP "Select a Class" if you are unsure of your swimmers level. Please complete the rest of the form and then give us a call.

Enroll in Classes

Select Class

Student #4 (Show-Hide Details)

Student's First Name*

Last Name*

Student Gender*

Birth Date*

Additional Info

Disabilities (Leave blank if NONE)

Special Needs (Leave blank if NONE)

Allergies (Leave blank if NONE)

Class Registration For All Programs: Swim Lessons Classes can more easily be searched for by selecting the session title and dates. Swim Assessments can be filtered by selecting Swim Assessment.

Attention: If you do not see the class you are looking for it is sold out for the dates you are considering. You may search under a different session or give us a call to add you to a waitlist.

SKIP "Select a Class" if you are unsure of your swimmers level. Please complete the rest of the form and then give us a call.

Enroll in Classes

Select Class

Student #5 (Show-Hide Details)

Student's First Name*

Last Name*

Student Gender*

Birth Date*

Additional Info

Disabilities (Leave blank if NONE)

Special Needs (Leave blank if NONE)

Allergies (Leave blank if NONE)

Class Registration For All Programs: Swim Lessons Classes can more easily be searched for by selecting the session title and dates. Swim Assessments can be filtered by selecting Swim Assessment.

Attention: If you do not see the class you are looking for it is sold out for the dates you are considering. You may search under a different session or give us a call to add you to a waitlist.

SKIP "Select a Class" if you are unsure of your swimmers level. Please complete the rest of the form and then give us a call.

Enroll in Classes

Select Class

Add Another Student

Required Policies

(Show-Hide Details)

Questions or Concerns

Comments

Payment Information

Credit Card

Card Number

Exp Month

Exp Year

Card Nickname

Name as it appears on card

Address Line 1

Address Line 2

City

State

Zip

Registration

Referral Information

Family Information

Where do you live?

Additional Info

Contact #1

How Can We Contact You?

Portal Access (your email is your login)

Student #1

Additional Info

Enroll in Classes

Student #2 (Show-Hide Details)

Additional Info

Enroll in Classes

Student #3 (Show-Hide Details)

Additional Info

Enroll in Classes

Student #4 (Show-Hide Details)

Additional Info

Enroll in Classes

Student #5 (Show-Hide Details)

Additional Info

Enroll in Classes

Required Policies (Show-Hide Details)

I Agree to All of the Above

Questions or Concerns

Payment Information

Credit Card

Required Policies

(Show-Hide Details)