Swimming Saves Lives Registration
Thank you for your interest in Swimming Saves Lives, a low-cost, adult swim lesson program. We are currently registering people for the April 9th to May 2nd class schedule.

Registration for Spring 2019 Swimming Saves Lives is limited. Please fill out the following form and submit it and you will be contacted via email to confirm your registration.

First Name *
Your answer
Last Name *
Your answer
Email Address *
Your answer
Phone Number *
Your answer
City *
Your answer
State *
Your answer
Zip Code *
Your answer
Age *
Gender *
Which of the following best represents the participant's racial or ethnic heritage? *
Required
How did you hear about Swimming Saves Lives? *
Required
Are you a Richmond City employee? *
If answer below is yes, please plan to bring employee ID or email address to registration.
Have you ever taken swimming lessons through Richmond Swims? *
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