Survival Swim Lessons Signup Form

Class fees are $500 per child per 6 week class, or $350 per child per 4 week class for Infant Survival. There is a one-time $50 registration fee to hold your place. No credit card required today.

For any questions not answered by our Lessons page, please feel free to contact us.

* = Required field

    YOUR NAME & CONTACT INFO

    What is the best way for us to get in touch with you?CallTextEmail

    CHILD'S INFORMATION

    Has the child previously had swimming lessons?YesNoNot sure
    What is your relationship to the child?ParentGrandparentGuardianOther
    We work with all ages and abilities. Does your child have any special needs?NoYes (explain below)
    What best describes the reason for your interest in survival swim lessons?

    CLASS DETAILS

    Which class are you signing up for? Select all that apply. (See the overview of our class options for details.)Infant SurvivalToddler SurvivalYouth SurvivalStroke TransitionFun Group
    What is your preferred class time?MorningAfternoonEvening
    How do you plan to pay for classes? CashCredit Card (online via PayPal or Venmo)CheckPlease tell me about payment plans

    ADDITIONAL INFO

    How did you hear about us?