Preregister

Please use this form when you are ready to sign up for classes. Use the comment box at the bottom to list the class dates that you would prefer. After you have clicked the "PreRegister" button at the bottom, Ms Cheree will contact you to finalize your schedule, arrange payment, and inform you of anything else you may need to know. Please be aware that this Pre-Registration does NOT guarantee you will be placed into the dates you requested.  All requests are taken in the order received and will be placed in a class according to what may or may not be available.

All fields must be completed.

Are you: Looking to sign up
Looking to inquire about price/availability
Last Name:
Parent First Names:
New Family: Yes No
Address:
City:
State:
Zip:
Referred by: (N/A if previous family)
Do you have a Pool in your own backyard?: Yes No
Home Phone:
Work Phone:
Cell Phone:
Email:
Children:
Names Ages Birthdays
Has your child had any prior swim lessons? Yes No
Does your child wear "floaties" or use any other type of flotation device? Yes No
Does your child like to jump in and swim or is he/she afraid of the water? Jump & Swim Afraid
Is your child afraid of getting their head wet? Yes No
Does your child hover near the steps? Yes No
Any Medical Issues we Should be Aware of:
Comments & Dates Requested:
Preferred Time: