Little Crappie Swim School Online Registration

Registration

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Welcome to Little Crappie Swim School! We are excited to bring high quality swim lessons to the St. Croix Valley in two locations. Our registration process is designed to allow flexibility while maximizing convenience.

* 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*

Additional Info

Grade Level

Special Needs (Leave blank if NONE)

Allergies (Leave blank if NONE)

Swimmer ability and goals?*

Birthday Coupon Code

Black Friday Coupon Code

Please click on the 'Select Class' below, then choose the lesson day and time that works best for you and your swimmer.

Private Lessons are 20 minutes of 1 on 1 instruction.

Semi-Private Lessons are 30 minutes of 2 to 1 instruction.

Water Babies are 30 minutes of parent and child group swim instruction.

Enroll in Classes

Select Class

Student #2 (Show-Hide Details)

Student's First Name*

Last Name*

Student Gender*

Birth Date*

Additional Info

Grade Level

Special Needs (Leave blank if NONE)

Allergies (Leave blank if NONE)

Swimmer ability and goals?*

Birthday Coupon Code

Black Friday Coupon Code

Please click on the 'Select Class' below, then choose the lesson day and time that works best for you and your swimmer.

Private Lessons are 20 minutes of 1 on 1 instruction.

Semi-Private Lessons are 30 minutes of 2 to 1 instruction.

Water Babies are 30 minutes of parent and child group swim instruction.

Enroll in Classes

Select Class

Student #3 (Show-Hide Details)

Student's First Name*

Last Name*

Student Gender*

Birth Date*

Additional Info

Grade Level

Special Needs (Leave blank if NONE)

Allergies (Leave blank if NONE)

Swimmer ability and goals?*

Birthday Coupon Code

Black Friday Coupon Code

Please click on the 'Select Class' below, then choose the lesson day and time that works best for you and your swimmer.

Private Lessons are 20 minutes of 1 on 1 instruction.

Semi-Private Lessons are 30 minutes of 2 to 1 instruction.

Water Babies are 30 minutes of parent and child group swim instruction.

Enroll in Classes

Select Class

Student #4 (Show-Hide Details)

Student's First Name*

Last Name*

Student Gender*

Birth Date*

Additional Info

Grade Level

Special Needs (Leave blank if NONE)

Allergies (Leave blank if NONE)

Swimmer ability and goals?*

Birthday Coupon Code

Black Friday Coupon Code

Please click on the 'Select Class' below, then choose the lesson day and time that works best for you and your swimmer.

Private Lessons are 20 minutes of 1 on 1 instruction.

Semi-Private Lessons are 30 minutes of 2 to 1 instruction.

Water Babies are 30 minutes of parent and child group swim instruction.

Enroll in Classes

Select Class

Student #5 (Show-Hide Details)

Student's First Name*

Last Name*

Student Gender*

Birth Date*

Additional Info

Grade Level

Special Needs (Leave blank if NONE)

Allergies (Leave blank if NONE)

Swimmer ability and goals?*

Birthday Coupon Code

Black Friday Coupon Code

Please click on the 'Select Class' below, then choose the lesson day and time that works best for you and your swimmer.

Private Lessons are 20 minutes of 1 on 1 instruction.

Semi-Private Lessons are 30 minutes of 2 to 1 instruction.

Water Babies are 30 minutes of parent and child group swim instruction.

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?

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)