Survival Swim Lessons Signup • Baby Otter Survival Swim Academy • Teaching Children to Be Capable & Confident Around Water in Farragut, Concord & Greater Knoxville, TN

Survival Swim Lessons Signup Form

Class fees are $500 per child per class, or $350 per child per 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.

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YOUR NAME & CONTACT INFO

First Name*

Last Name*

Email*

Phone Number*

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

Your Location (city)*

CHILD'S INFORMATION

Child's First Name*

Child's Age*

Has the child previously had swimming lessons?YesNoNot sure

If yes, please provide a brief description (not reqired if n/a):

What is your relationship to the child?ParentGrandparentGuardianOther

Relationship (if "other"):

We work with all ages and abilities. Does your child have any special needs?NoYes (explain below)

Please share a brief description of how your child learns best (if applicable):

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?

Who can we thank for referring you (optional)?

Any additional comments, questions or details? (optional)