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First Name
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Last Name
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Email
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Phone number
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Street address
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City
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How did you hear about us?
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Google
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Flyer in the Mail
School Fair
Returning Client
Referral from Friend or Instructor
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Other / Referral
If you heard about us somewhere else or through a referral let us know!
How many children do you have and their ages?
Please list ages and approximate swimming level.
Swimming Level:
Parent and Tot (Kids under 3-Years-Old)
Preschool (3-5)
Swimmer (5-12)
Rookie, Ranger, Star Patrol (5-12)
Bronze Levels (12+) *Subject to Lifesaving Society Pool Requirements
Fitness Swimmer (8+)
Adult Swimmer (16+)
Preferred time of day for lessons:
Morning (9:30am-12pm)
Afternoon (12-4pm)
Evening (4-7pm)
Preferred days of the week:
Monday
Tuesday
Wednesday
Thursday
Friday
Saturday
Sunday
Days that do not work for lessons:
Monday
Tuesday
Wednesday
Thursday
Friday
Saturday
Sunday
Type of Lessons
Semi-Private Lessons
Private Lessons
How many lessons a week you would like?
When would you like to begin lessons?
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Services
Swimming Lessons
Lifeguard
First Aid
About Us
Our Team
Our Story
Testimonials
Contact Us to Register
