Swimming Saves Lives Registration
Thank you for your interest in Swimming Saves Lives, a low-cost, adult swim lesson program. Spring classes are being planned.

Registration for this grant-funded program is limited and pre-registration is required. Please fill out the following form and submit it and you will be contacted via email regarding attending registration day.
Email address *
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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