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2021 Athletic Swim Academy Preregistration
Our Swim Lesson Coordinator will review this information and reach back out to you to schedule your lessons.
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* Indicates required question
Email
*
Your email
Parent/Guardian's Full Name
*
Your answer
Email
Your answer
Phone
*
Your answer
Address
Your answer
Student Full Name
Your answer
Student Date of Birth
MM
/
DD
/
YYYY
Preferred Days/Times to Swim
Your answer
Best Time to Contact You
Your answer
What type of lesson would you like to schedule?
Private
Semi-private (Please note, we don't organize semi privates but are happy to schedule them if you have up to 3 people that would like to take together.)
Group
First Available
Clear selection
Can the student swim independently without the use of a flotation device?
Yes
No
Clear selection
Please describe the student's swim experience and capabilities.
Your answer
If you have additional swimmers that you would like to enroll, please list and include date of birth.
Your answer
Submit
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