Enrollment | Love Swimming

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?*
Referral/Other Name
If you heard about us from a person, business, or organization, please provide their name so we can thank them!
Are you a returning client?*
Promo Code
Family Information
Family 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 Number
Untitled
Email
Enter Email Confirm Email
Address*
Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Country
Choice of Membership*
Classes*
What 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 Information
Student's Name*
First Last
Student Gender*
Date of Birth*
Date Format: MM slash DD slash YYYY
Age*
Does the student have a fear of deep water?*
Please 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)*
Does the student have special needs? (If yes, explain below in the Additional Information section)*
Student #2 Information
2nd Student's Name
First Last
Student Gender
Date of Birth
Date Format: MM slash DD slash YYYY
Age
Does the student have a fear of deep water?
Please 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)
Does the student have special needs? (If yes, explain below in the Additional Information section)
Student #3 Information
3rd Student's Name
First Last
Student Gender
Date of Birth
Date Format: MM slash DD slash YYYY
Age
Does the student have a fear of deep water?
Please 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)
Does the student have special needs? (If yes, explain below in the Additional Information section)
Additional Information
Requested 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 you or 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 Information
You may use this space for additional information/messages for your child's lessons.
Comments
This field is for validation purposes and should be left unchanged.

Pre-Registration

Family Information

Student #1 Information

Student #2 Information

Student #3 Information

Additional Information