Please fill out each section carefully before submitting this form.
There are 4 pages to this form so make sure you complete all of them!
 
 
Select the school your child is enrolled at: * 🛈

Student Information

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Is student Potty Trained?: * 🛈
STOP
Based on your previous answer, your child is not eligible to participate in our Swim Programs at this time. Children must be 2 1/2 years old AND fully potty trained in order to register for our programs.
 
Thank you!
Has student had previous "Swim Lesson" experience? *
Please Select All That Apply: *
 
Please Select All That Apply: *
 
School Drop Off & Pick Up Times
ALL of our students Swim Lesson class times are determined by our staff using a complex Drop Off/Pick-Up Time Chart so it is VERY IMPORTANT that you are accurate. If you are unsure OR your Drop Off/Pick-Up times vary, please make note at the end of this form.

Our morning lessons begin as early at 9:15am and end by 1:15pm. Our afternoon lessons begin at 3:15pm and end by 5:45pm.
Class times are determined by our staff based on the times your child is at school on lesson days from your selections below.

If your child does not attend school on Swim Lesson days, and you (parent/guardian) will be bringing them on their lesson days, please include the times you are available to drop them off/pick them up.
 *
 by/before 9:00 AM9:30 AM10:00 AM10:30 AM11:00 AM11:30 AM12:00 PM12:30 PM1:00 PM1:30 PM3:30 PM4:00 PM4:30 PM5:00 PM5:30 PM6:00 PM
DROP OFF TIME
PICK UP TIME

Parent/Guardian Information

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