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*Main Contact Email (We will correspond with the email you provide)* Enter Email Confirm Email *The email that you enter above will be used for further correspondence (sending you available times, more information, etc.) ***Please DO NOT enter an email you rarely use. Refusing to submit and check the appropriate email can slow down your enrollment process and even cause you to lose times you were interested in.2nd Parent/Guardian Name First Last Phone NumberUntitledEmail Enter Email Confirm Email Address* Street Address Address Line 2 City State / Province / Region ZIP / Postal Code AfghanistanAlbaniaAlgeriaAmerican SamoaAndorraAngolaAnguillaAntarcticaAntigua and BarbudaArgentinaArmeniaArubaAustraliaAustriaAzerbaijanBahamasBahrainBangladeshBarbadosBelarusBelgiumBelizeBeninBermudaBhutanBoliviaBonaire, Sint Eustatius and SabaBosnia and HerzegovinaBotswanaBouvet IslandBrazilBritish Indian Ocean TerritoryBrunei DarussalamBulgariaBurkina FasoBurundiCambodiaCameroonCanadaCape VerdeCayman IslandsCentral African RepublicChadChileChinaChristmas IslandCocos IslandsColombiaComorosCongo, Democratic Republic of theCongo, Republic of theCook IslandsCosta RicaCroatiaCubaCuraçaoCyprusCzech RepublicCôte d'IvoireDenmarkDjiboutiDominicaDominican RepublicEcuadorEgyptEl SalvadorEquatorial GuineaEritreaEstoniaEswatini (Swaziland)EthiopiaFalkland IslandsFaroe IslandsFijiFinlandFranceFrench GuianaFrench PolynesiaFrench Southern TerritoriesGabonGambiaGeorgiaGermanyGhanaGibraltarGreeceGreenlandGrenadaGuadeloupeGuamGuatemalaGuernseyGuineaGuinea-BissauGuyanaHaitiHeard and McDonald IslandsHoly SeeHondurasHong KongHungaryIcelandIndiaIndonesiaIranIraqIrelandIsle of ManIsraelItalyJamaicaJapanJerseyJordanKazakhstanKenyaKiribatiKuwaitKyrgyzstanLao People's Democratic RepublicLatviaLebanonLesothoLiberiaLibyaLiechtensteinLithuaniaLuxembourgMacauMacedoniaMadagascarMalawiMalaysiaMaldivesMaliMaltaMarshall IslandsMartiniqueMauritaniaMauritiusMayotteMexicoMicronesiaMoldovaMonacoMongoliaMontenegroMontserratMoroccoMozambiqueMyanmarNamibiaNauruNepalNetherlandsNew CaledoniaNew ZealandNicaraguaNigerNigeriaNiueNorfolk IslandNorth KoreaNorthern Mariana IslandsNorwayOmanPakistanPalauPalestine, State ofPanamaPapua New GuineaParaguayPeruPhilippinesPitcairnPolandPortugalPuerto RicoQatarRomaniaRussiaRwandaRéunionSaint BarthélemySaint HelenaSaint Kitts and NevisSaint LuciaSaint MartinSaint Pierre and MiquelonSaint Vincent and the GrenadinesSamoaSan MarinoSao Tome and PrincipeSaudi ArabiaSenegalSerbiaSeychellesSierra LeoneSingaporeSint MaartenSlovakiaSloveniaSolomon IslandsSomaliaSouth AfricaSouth GeorgiaSouth KoreaSouth SudanSpainSri LankaSudanSurinameSvalbard and Jan Mayen IslandsSwedenSwitzerlandSyriaTaiwanTajikistanTanzaniaThailandTimor-LesteTogoTokelauTongaTrinidad and TobagoTunisiaTurkeyTurkmenistanTurks and Caicos IslandsTuvaluUS Minor Outlying IslandsUgandaUkraineUnited Arab EmiratesUnited KingdomUnited StatesUruguayUzbekistanVanuatuVenezuelaVietnamVirgin Islands, BritishVirgin Islands, U.S.Wallis and FutunaWestern SaharaYemenZambiaZimbabweÅland Islands Country Choice of Membership*Child 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* Date Format: MM slash DD slash YYYY Age*Does the child willingly go underwater?*Please select one.No, my child does not go underwater willinglyYes, my child will go underwater comfortably and willingly.Does the student have a fear of deep water?*Please select oneYes, the student is fearful of the waterNo, the student is absolutely comfortable in the waterPlease select one.Which of the following can the student perform now? (Please only select what they know and can perform right now, before even having a lesson at Love Swimming)- Check all that applies (for 2.5+ year olds)* No water/lesson experience Comfortable in a class setting Blows bubbles Willingly places head underwater Floats/Glides independently (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 for what your child knows and can do comfortably right now (if applicable). At the very least, select "No water/lesson experience".Is the student on the autistic spectrum? (If yes, explain below in the Additional Information section)*Please select belowNoYesDoes the student have special needs? (If yes, explain below in the Additional Information section)*Please select belowNoYesStudent #2 Information2nd Student's Name First Last Student GenderFemaleMaleDate of Birth Date Format: MM slash DD slash YYYY AgeDoes the child willingly go underwater?Please select one.No, my child does not go underwater willinglyYes, my child will go underwater comfortably and willingly.Does the student have a fear of deep water?Please select one.Yes, the student is fearful of the waterNo, my child is absolutely comfortable in the waterWhich of the following can the student perform now? (Please only select what they know and can perform right now, before even having a lesson at Love Swimming)- Check all that applies (for 2.5+ year olds) No water/lesson experience Comfortable in a class setting Blows bubbles Willingly places head underwater Floats/Glides independently (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 for what your child knows and can do comfortably right now (if applicable). At the very least, select "No water/lesson experience".Is the student on the autistic spectrum? (If yes, explain below in the Additional Information section)Please select belowNoYesDoes the student have special needs? (If yes, explain below in the Additional Information section)Please select belowNoYesStudent #3 Information3rd Student's Name First Last Student GenderFemaleMaleDate of Birth Date Format: MM slash DD slash YYYY AgeDoes the child willingly go underwater?Please select one.No, my child does not go underwater willinglyYes, my child will go underwater comfortably and willingly.Does the student have a fear of deep water?Yes, the student is fearful of the waterNo, the student is absolutely comfortable in the waterPlease select one.Which of the following can the student perform now? (Please only select what they know and can perform right now, before even having a lesson at Love Swimming)- Check all that applies (for 2.5+ year olds) No water/lesson experience Comfortable in a class setting Blows bubbles Willingly places head underwater Floats/Glides independently (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 for what your child knows and can do comfortably right now (if applicable). At the very least, select "No water/lesson experience".Is the student on the autistic spectrum? (If yes, explain below in the Additional Information section)Please select belowNoYesDoes the student have special needs? (If yes, explain below in the Additional Information section)Please select belowNoYesAdditional InformationRequested Lesson Times/Days - Do not list "flexible" as a time frame please.*Refer to our facility hours to better help you choose a time. Please list specific days and time frames. For example: "M-W 10:00 am - 4:30 PM, Th 3:00 pm - 7:00 pm"************************ Love Swimming Facility Hours are as follows: Sunday - Closed// Monday - 3:30 AM–6:30 PM// Tuesday - 9:30 AM–7:30 PM// Wednesday - 9:30 AM–7:30 PM// Thursday - 10:00 AM–6:30 PM// Friday - 10:00 AM–6:30 PM// Saturday - 8:30 AM–3:45 PM// *****************************Requests are not guaranteed. They will be referenced in an attempt to place the student 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.NameThis field is for validation purposes and should be left unchanged.