Lakeside Aquatic Club Online Registration

Registration

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Welcome to LAC Swimming!

* 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*

Contact #1

Contact #1 First Name*

Last Name *

Type*

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

Type

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=mm/dd/yyyy)

Please click on the Search button below, then choose the class. Make sure you select the correct location- if you need to change location after enrolling there is no guarantee you will have a spot at another pool- and there is a $10 class change fee.

WAC pool address is 1750 Duncan Ln, Lewisville

Keller pool address is 1000 Bear Creek Pkwy, Keller

Justin pool address is 1976 Texan Drive, Justin

Enroll in Classes

Select Class

Student #2 (Show-Hide Details)

Student's First Name*

Last Name*

Student Gender*

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

WAC pool address is 1750 Duncan Ln, Lewisville

Keller pool address is 1000 Bear Creek Pkwy, Keller

Justin pool address is 1976 Texan Drive, Justin

Enroll in Classes

Select Class

Student #3 (Show-Hide Details)

Student's First Name*

Last Name*

Student Gender*

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

WAC pool address is 1750 Duncan Ln, Lewisville

Keller pool address is 1000 Bear Creek Pkwy, Keller

Justin pool address is 1976 Texan Drive, Justin

Enroll in Classes

Select Class

Student #4 (Show-Hide Details)

Student's First Name*

Last Name*

Student Gender*

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

WAC pool address is 1750 Duncan Ln, Lewisville

Keller pool address is 1000 Bear Creek Pkwy, Keller

Justin pool address is 1976 Texan Drive, Justin

Enroll in Classes

Select Class

Student #5 (Show-Hide Details)

Student's First Name*

Last Name*

Student Gender*

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

WAC pool address is 1750 Duncan Ln, Lewisville

Keller pool address is 1000 Bear Creek Pkwy, Keller

Justin pool address is 1976 Texan Drive, Justin

Enroll in Classes

Select Class

Add Another Student

Required Policies

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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?

Contact #1

How Can We Contact You?

Portal Access (your email is your login)

Contact #2

How can we contact you?

Student #1

Enroll in Classes

Student #2 (Show-Hide Details)

Enroll in Classes

Student #3 (Show-Hide Details)

Enroll in Classes

Student #4 (Show-Hide Details)

Enroll in Classes

Student #5 (Show-Hide Details)

Enroll in Classes

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Questions or Concerns

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Credit Card

Required Policies

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