Thank you for your interest in Beelieve Aquatic Therapy 2026! Please fill out this form in its entirety, and a member of our team will contact you regarding patient information, scheduling, and deposits.
** Please note that filling out this form DOES NOT guarantee your spot in a program. **
Each round of aquatics has a limited number of spaces available and is filled on a first-come, first-served basis. Please select your top choices on this form. If you are interested in more than one session, please select all that apply, and we can further discuss availability with you.
A non-refundable deposit of $100 is required to secure your place in your chosen session.
We can't wait to dive in with you!!
