New Student Registration Form
To speed up our registration process, please complete this form carefully. One registration form per family or same learning bubble for group/semi-private lesson. Submit the Registration Form ONCE ONLY. For any changes, email us at info@swimapex.com with the subject line "Changes For Registration". DO NOT RESUBMIT A NEW REGISTRATION FORM FOR CHANGES.
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Email *
Swimmer's Information
Swimmer #1 First & Last Name: *
Swimmer #1 Current Age: *
New Student Swimming History *
Name of previous/current Swim School
Completed level from previous/current Swim School (put down unsure if you don't know)
Swimmer #2 First & Last Name:
Swimmer #2 Current Age:
New Student Swimming History
Clear selection
Name of previous/current Swim School
Completed level from previous/current Swim School (put down unsure if you not sure)
Swimmer #3 First & Last Name:
Swimmer #3 Current Age:
New Student Swimming History
Clear selection
Name of previous/current Swim School
Completed level from previous/current Swim School (put down unsure if you not sure)
Swimmer #4 First & Last Name:
Swimmer #4 Current Age:
New Student Swimming History
Clear selection
Name of previous/current Swim School
Completed level from previous/current Swim School (put down unsure if you not sure)
Swimmer #5 First & Last Name:
Swimmer #5 Current Age:
New Student Swimming History
Clear selection
Name of previous/current Swim School
Completed level from previous/current Swim School (put down unsure if you not sure)
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