Swimming Saves Lives Waitlist
Thank you for your interest in Swimming Saves Lives, a low-cost, adult swim lesson program. Registration for Spring 2018 Swimming Saves Lives is now closed.

If you would like to be placed on our wait list, please complete this form. We will notify you the next time this program is run.

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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