Contact Us Your Name * First Name Last Name Your Email * Your Child * Boy Girl Your Child's Name * Age * Child's Birthday * MM DD YYYY List any other siblings (add ages) interested in lessons Afraid of Water * Yes No Afraid of water in their ears, nose, or eyes * Yes No Does the child use a floatation device in the pool? * Yes No What type? Are you aware of our 'no parents in class area' policy? * See FAQ page for details. Yes No Any other questions or concerns (not addressed in FAQ)? Thank you!
