🏊 Swimming Pool Registration Form
Please complete all required information before submitting your registration.
Participant Information
First Name
Last Name
Date of Birth
Gender
Select
Male
Female
Prefer not to say
Email
Phone Number
Home Address
Parent / Guardian (For Minors)
Parent/Guardian Name
Relationship
Parent Phone
Parent Email
Emergency Contact
Emergency Contact Name
Emergency Phone
Swimming Experience
Has your child ever had a negative or scary experience with water?
Select
No
Yes
If yes, please describe briefly:
What are your child's swimming goals?
Swimming Level
Choose One
Never Swam Before
Beginner
Intermediate
Advanced
Competitive Swimmer
Have you taken swimming lessons before?
No
Yes
Can you swim without assistance?
No
Yes
Describe your swimming experience
Medical Information
Do you have any medical conditions, allergies, or injuries?
Class Registration
Select Program
Choose a Class
Kids Beginner Class
Kids Intermediate Class
Kids Advanced Class
Adult Beginner Class
Adult Fitness Swimming
Private Lessons
Agreement
I certify that all information provided is accurate. I understand that swimming activities involve inherent risks, and I agree to follow all pool safety rules.
Submit Registration