Registration


Summer Swim Lesson Registration Now Open!


Welcome to Splash Water Safety where your swimming and safety is our business. Please complete the following registration form and payment to reserve your spot in class. For more information about classes, visit our Services page. Swim lessons are near the bottom of the page.

*   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)
Who is your employer?
Contact #2
How can we contact you?
(Emails are kept confidential)
Who is your employer?
Student #1
(format=mm/dd/yyyy)
Additional Info

Please click on the Search button below, then choose the class.

Enroll in Classes
Select Class
Required Policies and Agreements
I Agree to All of the Above
Questions or Concerns
Payment Information
Please fill out ONE of the following Payment Methods
Credit Card
eCheck/Bank Draft
(Your name on your bank statement)
(9-digit number)