Swim Lesson Registration: Summer of 2026

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Please fill out the form below to reserve a spot for your child's swimming lessons. If you have more than four children you are signing up please fill out another form.

Parent/Guardian Contact

*If contact cannot be made after two attempts you are forfeiting your spot for swim lessons. A spot after resigning up is not guaranteed.

Parent Full Name *

Phone Number *

Email Address *

Child's Information

Name of Child #1 *

Age of Child #1 *

Name of Child #2 *

Put N/A if you do not have a 2nd child you want to sign up.

Age of Child #2 *

Put N/A if you do not have a 2nd child you want to sign up.

Name of Child #3 *

Put N/A if you do not have a 3rd child you want to sign up.

Age of Child #3 *

Put N/A if you do not have a 3rd child you want to sign up.

Name of Child #4 *

Put N/A if you do not have a 4th child you want to sign up.

Age of Child #4 *

Put N/A if you do not have a 4th child you want to sign up.

Skill Level & Goals

Comfortability in Water: Child #1 *

Comfortability in Water: Child #2 *

Comfortability in Water: Child #3 *

Comfortability in Water: Child #4 *

What would you like your child to learn? *

e.g. Blowing bubbles, freestyle stroke, treading water...

Schedule & Preferences

How many sessions would you like? *

Time Slot Preference *

Please pick a time that works best for you, these are the times we have available. If you have a specific request please put it in other, we will try our best to make accommodations but cannot promise that we can meet them.

11:00am

11:20am

11:40am

12:00am

12:20am

12:40am

Other:

Required

If you have multiple children signing up which option would you prefer? *

All Children at the Same Time

All Children have the Same Instructor: back-to back

N/A

Other:

Required

Preferred Weeks *

Week 1: June 15 - June 18

Week 2: June 22 - June 25

Week 3: June 29- July 2

Week 4: July 6 - July 9

Week 5: July 13 - July 16

Week 6: July 20 - July 23

Week 7: July 27 - July 30

Week 8: Aug 3 - Aug 6

Required

1st Week Preference *

EX. Week 1

2nd Week Preference *

EX. Week 5: If you do not have a 2nd or 3rd week preference put N/A.

3rd Week Preference *

EX. Week 7: If you do not have a 2nd or 3rd week preference put N/A.

Preferred Instructor Gender *

Male

Female

No Preference

Any Other Information You Feel is Relevant or You Want to Share. *

If there is nothing else just put N/A.

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