Lu's Swim School Online Registration

Registration

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Welcome to Lu's Swim School! Please complete the following registration form.

* 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*

State*

Zip*

Primary Phone*

Additional Info

Emergency Contact Info (Not Contact #1 or #2)

Contact #1

Contact #1 First Name*

Last Name *

Parent or Guardian*

How Can We Contact You?

Home Phone

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

Parent or Guardian

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*

Additional Info

After you register, please log into your parent portal to enroll into classes.

Please note that you are only able to register one child per Private Class. Each session is a private lesson, unless you request otherwise.

If you plan on sharing the lesson with another sibling or friend, please email or call us and we will open the class up to accept 2 students.

A private lesson, one coach to one child is $55 per 30 minute lesson.

If you'd like a semi-private lesson, the cost will be $10 additional per 30 min lesson. The best way to have a semi-private lesson is to find a friend will similar skill level as your child.

We will not allow more than 2 students who are not water safe in the same lesson.

Thank you!

-Lu's Swim School

Enroll in Classes

Select Class

Student #2 (Show-Hide Details)

Student's First Name*

Last Name*

Student Gender

Birth Date*

Additional Info

After you register, please log into your parent portal to enroll into classes.

Please note that you are only able to register one child per Private Class. Each session is a private lesson, unless you request otherwise.

If you plan on sharing the lesson with another sibling or friend, please email or call us and we will open the class up to accept 2 students.

A private lesson, one coach to one child is $55 per 30 minute lesson.

If you'd like a semi-private lesson, the cost will be $10 additional per 30 min lesson. The best way to have a semi-private lesson is to find a friend will similar skill level as your child.

We will not allow more than 2 students who are not water safe in the same lesson.

Thank you!

-Lu's Swim School

Enroll in Classes

Select Class

Student #3 (Show-Hide Details)

Student's First Name*

Last Name*

Student Gender

Birth Date*

Additional Info

After you register, please log into your parent portal to enroll into classes.

Please note that you are only able to register one child per Private Class. Each session is a private lesson, unless you request otherwise.

If you plan on sharing the lesson with another sibling or friend, please email or call us and we will open the class up to accept 2 students.

A private lesson, one coach to one child is $55 per 30 minute lesson.

If you'd like a semi-private lesson, the cost will be $10 additional per 30 min lesson. The best way to have a semi-private lesson is to find a friend will similar skill level as your child.

We will not allow more than 2 students who are not water safe in the same lesson.

Thank you!

-Lu's Swim School

Enroll in Classes

Select Class

Student #4 (Show-Hide Details)

Student's First Name*

Last Name*

Student Gender

Birth Date*

Additional Info

After you register, please log into your parent portal to enroll into classes.

Please note that you are only able to register one child per Private Class. Each session is a private lesson, unless you request otherwise.

If you plan on sharing the lesson with another sibling or friend, please email or call us and we will open the class up to accept 2 students.

A private lesson, one coach to one child is $55 per 30 minute lesson.

If you'd like a semi-private lesson, the cost will be $10 additional per 30 min lesson. The best way to have a semi-private lesson is to find a friend will similar skill level as your child.

We will not allow more than 2 students who are not water safe in the same lesson.

Thank you!

-Lu's Swim School

Enroll in Classes

Select Class

Student #5 (Show-Hide Details)

Student's First Name*

Last Name*

Student Gender

Birth Date*

Additional Info

After you register, please log into your parent portal to enroll into classes.

Please note that you are only able to register one child per Private Class. Each session is a private lesson, unless you request otherwise.

If you plan on sharing the lesson with another sibling or friend, please email or call us and we will open the class up to accept 2 students.

A private lesson, one coach to one child is $55 per 30 minute lesson.

If you'd like a semi-private lesson, the cost will be $10 additional per 30 min lesson. The best way to have a semi-private lesson is to find a friend will similar skill level as your child.

We will not allow more than 2 students who are not water safe in the same lesson.

Thank you!

-Lu's Swim School

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

eCheck/Bank Draft

Bank Name

Account Type

Your Account Name (Your name on your bank statement)

Bank Routing Number (9-digit number)

Account Number

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)

Contact #2

How can we contact you?

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

eCheck/Bank Draft

Required Policies

(Show-Hide Details)