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Hippo Swim Club Registration Form
Hippo Swim ClubÂ
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* Indicates required question
Email
*
Your email
Swimmer's Last Name
*
Your answer
Swimmer's First Name
*
Your answer
Swimmer's Age
*
Your answer
Swimmer's Gender
*
Female
Male
Other
Email
*
Your answer
Phone Number
*
Your answer
Does the swimmer have any special needs?
*
Your answer
Was the swimmer enrolled at Hippo in 2023?
*
Yes
No
Does the swimmer have an instrucor preference (gender)?
*
male
female
either
How many classes per week will the swimmer take?
*
1
2
3
4
5
6
7
Day/s of the week the swimmer would like to attend (Up to 7 days a week)
*
Monday
Tuesday
Wednesday
Thursday
Friday
Saturday
Sunday
Required
Would the swimmer like a 30 min class or 1 hour class?
*
30-minute
1 hour
Other:
What time would the swimmer like to take the class? (M-F 3 PM - 7:30 PM) (Sat/Sun 9:30 AM - 6:30 PM)
*
9:30 AM
10:00 AM
10:30 AM
11:00 AM
11:30 AM
12:00 PM
12:30 PM
1:00 PM
1:30 PM
2:00 PM
2:30 PM
3:00 PM
3:30 PM
4:00 PM
4:30 PM
5:00 PM
5:30 PM
6:00 PM
6:30 PM
7:00 PM
Required
How did you hear about us?
Friend told me about Hippo
Website
Saw on the street
Google Search
Current
Other:
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