Cardinal Aquatics, LLC Online Registration

Registration

Welcome to Cardinal Aquatics, LLC! We are so excited for you to be here. We are located in Fairfax, Virginia and lessons are at Lakeview Swim Club - 5352 Gainsborough Dr. Class descriptions can be found here: https://lakeview.swimtopia.com/group-lessons Please complete the following registration form below. Questions? Please email cardinal.aquatics03@gmail.com We have a no-refund policy.

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Referral Information

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Family Last Name*

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City*

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Contact #1

Contact #1 First Name*

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Contact #2

Contact #2 First Name

Last Name

Type

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Student #1

Student's First Name*

Last Name*

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Birth Date*

Additional Info

Disabilities (Leave blank if NONE)

Special Needs (Leave blank if NONE)

2025 Group Lessons are Monday through Friday at 10:15 or 10:45am.

Week 1 June 16-June 21

Week 2 June 23 -June 27
Week 3 June 30 - July 4
Week 4 July 7 - July 11
Week 5 July 14 - July 18

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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)

2025 Group Lessons are Monday through Friday at 10:15 or 10:45am.

Week 1 June 16-June 21

Week 2 June 23 -June 27
Week 3 June 30 - July 4
Week 4 July 7 - July 11
Week 5 July 14 - July 18

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)

2025 Group Lessons are Monday through Friday at 10:15 or 10:45am.

Week 1 June 16-June 21

Week 2 June 23 -June 27
Week 3 June 30 - July 4
Week 4 July 7 - July 11
Week 5 July 14 - July 18

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)

2025 Group Lessons are Monday through Friday at 10:15 or 10:45am.

Week 1 June 16-June 21

Week 2 June 23 -June 27
Week 3 June 30 - July 4
Week 4 July 7 - July 11
Week 5 July 14 - July 18

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)

2025 Group Lessons are Monday through Friday at 10:15 or 10:45am.

Week 1 June 16-June 21

Week 2 June 23 -June 27
Week 3 June 30 - July 4
Week 4 July 7 - July 11
Week 5 July 14 - July 18

Enroll in Classes

Select Class *

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