Returning Clients Intake Form
This form is for clients that have participated in the scheduled programing listed below that would like to continue programing with us! This form needs to be completed along with payment every time you run out of lessons or water aerobics classes on file.

Note: we will try our best to accommodate for the dates listed and instructor listed, but it is not guaranteed. If one of these things does not work on our side you will be notified within 24-48 business hours.

Applicable to the Following Programing: 
  • Learn to Swim/Community Swim Lessons
  • Water Aerobics Classes
Email *
Please list participants of your learn to swim lessons or water aerobics classes (First and Last Name) *
Would you like to update the email you have on file? If yes, write the new email below: *
Would you like to update the phone number you have on file? If yes, write the new number below: *
How many participants in each lesson? *
How long would you like your lessons to last (between 20-45 minutes)? If this is for water aerobics, write N/A. *
Do you have an instructor request? If so who? *
What programing are you continuing? *
Which location will you be continuing at (Water Aerobics)? *
Which location will you be continuing at (Learn to Swim Lessons)? *
Please list ALL the dates and times you would like your classes to be (Example: 12/2 @ 9:45) *
Do you agree to all the policies listed out in the information packet on our website? *
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