Enrollment Pre-Registration To inquire about or begin the enrollment process, please fill out the form below. This is the first step towards registering for classes. Once you submit your form, we will contact you shortly with additional information and class times based on your detailed availability. *You will not be officially enrolled until you have corresponded with our registration team via email. *Please be aware that we cannot enroll your child until (at most) 2 weeks before their start date.How did you hear about us?*Please select below...Love Swimming FacebookLove Swimming PartyMagazine AdNew Orleans Moms Blog (NOMB) Social Media/AdOnline AdRadioReturning ClientSignSilent Auction DonationWebsite/Self SearchWord of Mouth/ReferralYelpOtherReferral/Other NameIf you heard about us from a person, business, or organization, please provide their name so we can thank them!Are you a returning client?*Please select below...NoYesPromo CodeFamily InformationFamily Name*Parent/Guardian Name (Main Contact)* First Last Phone Number** Enter Email Confirm Email *The email that you enter here will be used for further correspondence (sending you available times, more information, etc.) Please DO NOT enter an email you rarely use.2nd Parent/Guardian Name First Last Phone NumberUntitledEmail Enter Email Confirm Email *The email you enter will be the address we use to send you available times and additional information. Please DO NOT enter an email you rarely use.Address* Street Address Address Line 2 City State / Province / Region ZIP / Postal Code AfghanistanAlbaniaAlgeriaAmerican SamoaAndorraAngolaAntigua and BarbudaArgentinaArmeniaAustraliaAustriaAzerbaijanBahamasBahrainBangladeshBarbadosBelarusBelgiumBelizeBeninBermudaBhutanBoliviaBosnia and HerzegovinaBotswanaBrazilBruneiBulgariaBurkina FasoBurundiCambodiaCameroonCanadaCape VerdeCayman IslandsCentral African RepublicChadChileChinaColombiaComorosCongo, Democratic Republic of theCongo, Republic of theCosta RicaCôte d'IvoireCroatiaCubaCuraçaoCyprusCzech RepublicDenmarkDjiboutiDominicaDominican RepublicEast TimorEcuadorEgyptEl SalvadorEquatorial GuineaEritreaEstoniaEthiopiaFaroe IslandsFijiFinlandFranceFrench PolynesiaGabonGambiaGeorgiaGermanyGhanaGreeceGreenlandGrenadaGuamGuatemalaGuineaGuinea-BissauGuyanaHaitiHondurasHong KongHungaryIcelandIndiaIndonesiaIranIraqIrelandIsraelItalyJamaicaJapanJordanKazakhstanKenyaKiribatiNorth KoreaSouth KoreaKosovoKuwaitKyrgyzstanLaosLatviaLebanonLesothoLiberiaLibyaLiechtensteinLithuaniaLuxembourgMacedoniaMadagascarMalawiMalaysiaMaldivesMaliMaltaMarshall IslandsMauritaniaMauritiusMexicoMicronesiaMoldovaMonacoMongoliaMontenegroMoroccoMozambiqueMyanmarNamibiaNauruNepalNetherlandsNew ZealandNicaraguaNigerNigeriaNorthern Mariana IslandsNorwayOmanPakistanPalauPalestine, State ofPanamaPapua New GuineaParaguayPeruPhilippinesPolandPortugalPuerto RicoQatarRomaniaRussiaRwandaSaint Kitts and NevisSaint LuciaSaint Vincent and the GrenadinesSaint MartinSamoaSan MarinoSao Tome and PrincipeSaudi ArabiaSenegalSerbiaSeychellesSierra LeoneSingaporeSint MaartenSlovakiaSloveniaSolomon IslandsSomaliaSouth AfricaSpainSri LankaSudanSudan, SouthSurinameSwazilandSwedenSwitzerlandSyriaTaiwanTajikistanTanzaniaThailandTogoTongaTrinidad and TobagoTunisiaTurkeyTurkmenistanTuvaluUgandaUkraineUnited Arab EmiratesUnited KingdomUnited StatesUruguayUzbekistanVanuatuVatican CityVenezuelaVietnamVirgin Islands, BritishVirgin Islands, U.S.YemenZambiaZimbabwe Country Choice of Membership*New Client - 12 Week MembershipReturning MembershipShort Term/Week-Long MembershipAdult MembershipClasses*Group ClassesSemi-Private ClassesPrivate ClassesAdult Private ClassesWhat classes are you interested in? *A Semi-Private lesson is a two-student private class. If you are interested in semi-private lessons, you must enroll two students.Student #1 InformationStudent's Name* First Last Student Gender*FemaleMaleDate of Birth* Age*Does your child have a fear of deep water?*Please select oneYes, my child is fearful of the waterNo, my child is absolutely comfortable in the waterPlease select one.What are your child's CURRENT capabilities? - Check all that applies (for 2.5+ year olds)* No water experience Comfortable in a class setting Blows bubbles Willingly places head underwater Floats/Glides (On back and front) Kicks feet independently Independent breaths Dolphin Kick Side Breaths Breaststroke Kick Backstroke Breast/Fly arms 30 sec.treading water To better place your child in the correct level, please check all that applies. At the very least, select "Comfortable in a class setting"Does your child have special needs? (If yes, explain below in the Additional Information section)*NoYesStudent #2 Information2nd Student's Name First Last Student GenderFemaleMaleDate of Birth AgeDoes your child have a fear of deep water?Yes, my child is fearful of the waterNo, my child is absolutely comfortable in the waterPlease select one.What are your child's CURRENT capabilities? - Check all that applies (for 2.5+ year olds) No water experience Comfortable in a class setting Blows bubbles Willingly places head underwater Floats/Glides (On back and front) Kicks feet independently Independent breaths Dolphin Kick Side Breaths Breaststroke Kick Backstroke Breast/Fly arms 30 sec.treading water To better place your child in the correct level, please check all that applies. At the very least, select "Comfortable in a class setting"Does your child have special needs? (If yes, explain below in the Additional Information section)YesNoStudent #3 Information3rd Student's Name First Last Student GenderFemaleMaleDate of Birth AgeDoes your child have a fear of deep water?Yes, my child is fearful of the waterNo, my child is absolutely comfortable in the waterPlease select one.What are your child's CURRENT capabilities? - Check all that applies (for 2.5+ year olds) No water experience Comfortable in a class setting Blows bubbles Willingly places head underwater Floats/Glides (On back and front) Kicks feet independently Independent breaths Dolphin Kick Side Breaths Breaststroke Kick Backstroke Breast/Fly arms 30 sec.treading water To better place your child in the correct level, please check all that applies. At the very least, select "Comfortable in a class setting"Does your child have special needs? (If yes, explain below in the Additional Information section)Please select below...YesNoAdditional InformationRequested Lesson Times/Days*List the day(s) that you are available, as well as the EARLIEST and LATEST time you are available. *Requests are not guaranteed. They will be referenced in an attempt to place your child in the appropriate class.When would you like to start your lessons?*Goals & Expectations*What do you hope for your child to accomplish at Love Swimming? What are your goals for your child?Additional InformationYou may use this space for additional information/messages for your child's lessons.CommentsThis field is for validation purposes and should be left unchanged.