Seahorse Swim School Lesson Interest Form

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Thank you for your interest in our award winning swim program.
Please answer the following questions and add any extra info at the end. The info you provide will help us place you or your children best into our program.

Email *

Parent First Name *

Parent Last Name *

Best Phone # to reach you to schedule/communicate? Please include area code. *

Please view our swim program details from our website and let us know what is your desired schedule. Dates? Times of availability. Any info regarding scheduling goes here.

Which LOCATION are you interested in? *

Seascape Sports Club 1505 Seascape Blvd. Aptos, Ca 95003 (March - October)

Seahorse Swim Academy (address provided w/ booking confirmation) (Summer only)

Either works for our family.

Type of class you would like to register for? *

Private - one student / one instructor

Semi-Private - two students / one instructor

Custom Class 3 - three students / one instructor

Custom Class 4- four students/one instructor

Other:

Student 1 First Name *

Student 1 Last Name *

Are you OK w. being matched w. others OUTSIDE of your learning or play POD? *

YES

Student 1 Date of Birth *

YYYY

Age of student *

Swimming goals? Previous experience? Deadlines? *

Any particulars/special information you would like to share? Please add that here.

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