Davina's Swim House Online Registration

Registration

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Welcome to Davina's Swim House! Please complete the following registration form. *If you are registering for an hour class level 6 or higher please select two 1/2 hour times and receive the 1 hour discount price*

* denotes required fields

Referral Information

How did you hear about us?

Referral Name

Family Information

Family Last Name*

Where do you live?

Home Address*

City*

Province*

Postal Code*

Home or Primary Phone*

Contact #1

Contact #1 First Name*

Last Name *

How Can We Contact You?

Home Phone

Work #

Cell #

Portal Access (your email is your login)

Email* (Emails are kept confidential)

Confirm Email*

Portal Account Password

Confirm Portal Account Password

Contact #2

Contact #2 First Name

Last Name

How can we contact you?

Home Phone

Work #

Cell #

Email (Emails are kept confidential)

Confirm Email

Student #1

Student's First Name*

Last Name*

Student Gender

Birth Date* (format=dd/mm/yyyy)

Additional Info

Student Email

Allergies

Anything we should be aware of

Please click on the Search button below, then choose the class. Registration is not complete until you click pay now.

Enroll in Classes

Select Class

Student #2 (Show-Hide Details)

Student's First Name*

Last Name*

Student Gender

Birth Date* (format=dd/mm/yyyy)

Additional Info

Student Email

Allergies

Anything we should be aware of

Please click on the Search button below, then choose the class. Registration is not complete until you click pay now.

Enroll in Classes

Select Class

Student #3 (Show-Hide Details)

Student's First Name*

Last Name*

Student Gender

Birth Date* (format=dd/mm/yyyy)

Additional Info

Student Email

Allergies

Anything we should be aware of

Please click on the Search button below, then choose the class. Registration is not complete until you click pay now.

Enroll in Classes

Select Class

Student #4 (Show-Hide Details)

Student's First Name*

Last Name*

Student Gender

Birth Date* (format=dd/mm/yyyy)

Additional Info

Student Email

Allergies

Anything we should be aware of

Please click on the Search button below, then choose the class. Registration is not complete until you click pay now.

Enroll in Classes

Select Class

Student #5 (Show-Hide Details)

Student's First Name*

Last Name*

Student Gender

Birth Date* (format=dd/mm/yyyy)

Additional Info

Student Email

Allergies

Anything we should be aware of

Please click on the Search button below, then choose the class. Registration is not complete until you click pay now.

Enroll in Classes

Select Class

Add Another Student

Required Policies and Agreements

Registration Policy

To ensure placement in any session, we require a NON-REFUNDABLE deposit of $50.00 per child to reserve and hold your spot within that session. The balance is due by Visa, MasterCard or post-dated cheque, payable on the designated date to be determined by Davina's Swim House (If you pay by cheque, you must hand in the deposit and the post-dated cheque for the remainder balance to hold your spot).
• Any unpaid balance after the designated date may be subject to a late-payment fee of $10.00 per swimmer, per day.
• Payment is due in full upon registration after the designated balance collection date.
• Payment by cheque will not be accepted once the session begins. Only Visa or MasterCard will be accepted.
• All registration must be done by e-mail, online or in person. A complete form, together with full payment is necessary for registration.
• If you pull out of a session and then choose to re-register, you are not guaranteed your original spot.
• Any NSF cheque is subject to an administrative charge of $70.00. Any declined credit card payment may be subject to an administrative charge of $5.00. The replacement payment must be by way of cash, certified cheque or a valid credit card payment.