Registration

Once this form is completed, you will receive a confirmation email within 48 hours. This email will include date options for your child’s swim lessons.

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Swimmer's Name *

First

Last

Gender of Swimmer *

• Male
• Female

Swimmer's Date of Birth *

MM/DD/YYYY

Grade of Swimmer *

What grade did your swimmer complete in spring of 2026?

Has the swimmer taken lessons before? *

• Yes
• No

Is the swimmer comfortable with water? *

• Yes
• No

Parent/Guardian Name *

First

Last

Parent/Guardian Phone Number *

Parent/Guardian Email *

Do morning or evening sessions work best for you? *

• Morning
• Evening

Which week do you prefer? *

• Week 1: June 8-12
• Week 2: June 22-25

Permission & Agreement *

• I agree and give permission for my child to take swim lessons.

Is there anything else about the swimmer that we should know?

Submit