SOS Swim School - Registration Form

SCHEDULE LESSONS

* Indicates required field

Family Last Name *

How did you hear about SOS? *

Who can we thank for your referral? *

Select Start Date & Time (Please check availability below)

We make every attempt to keep the availability information current. If there is a conflict, we will contact you as soon as possible to arrange another option.

Number of children registering for lessons *

2019 Start Date Requested *

Start Time Requested (provide 30 minute range) *

Special Notes: *

I have read and signed the ENROLLMENT PACKET *

YES

I have read and signed the WAIVER OF LIABILITY *

YES

PayPal Receipt Number for Registration Fee & 1st Week Lesson Fees For Each Child *

Total Amount Paid Via PayPal *

Complete Registration

In the event lessons have to be cancelled at the last minute to due weather or other unforeseen circumstances, please provide us the best contact.

Best Contact for Cancellation -Name & Number *

Mother

Mother's Name *

Mother's Cell Phone *

Mother's Work Phone *

Mother's Email *

Father

Father's Name *

Father's Cell Number *

Father's Work Phone *

Father's Email *

Child's Primary Address *

Line 1

Line 2

City

State

Zip Code

Country

Student Information

PLEASE NOTE: You will need to submit a copy of each child's registration form to [email protected] no later than 3 days prior to start date so that we may review the information. If you are not comfortable emailing, you may mail or call 850-942-SWIM (7946) to discuss any medical history that is on the registration form. We want to make sure we are providing the safest lessons possible. You will also need to bring a signed copy of the registration, waiver and enrollment packet to the first lesson.

1st Child

1st Child's Name *

First

Last

1st Child- Select One *

Gender *

1st Child - DOB *

1st Child - Age In Months *

1st Child - Choose Skill Level That Is Most Accurate *

1st Child - Special Notes *

2nd Child (Scroll Down If Complete)

2nd Child's Name *

First

Last

2nd Child - Choose Skill Level That Is Most Accurate *

Gender *

2nd Child - DOB *

2nd Child - Age In Months *

2nd Child - Select One *

2nd Child - Special Notes *

3rd Child (Scroll Down If Complete)

3rd Child's Name *

First

Last

3rd Child - Choose Skill Level That Is Most Accurate *

Gender *

3rd Child - DOB *

3rd Child - Age In Months *

3rd Child - Select One *

3rd Child - Special Notes *

Click the submit button bellow. If your submission is successful, you will be directed to a confirmation page. If you are not redirected to that page please review your form for the sections outlined in RED to know which required field have not been completed.

Submit Schedule Request

Registration Step #5-
Schedule Lesson Times

Click Here to learn
What to expect the first day

Scheduling Considerations:

Lessons are on a first come first serve basis.
Consistency and repetition are extremely important.
A continuous 4-6 weeks to lessons will allow your child to acquire his/her skill more quickly.
Consider nap times, feeding times, and planned vacations when scheduling swim course month and times. Students should not have anything to eat 1½ - 2 hours prior to lessons.

Student lessons will not begin until the student previously in a given time slot has completed his/her lessons. Safety is our priority and we will not conclude a child's lessons until their skills are complete. Early registration is highly recommended to better accommodate the time and month you desire.

SCHEDULE LESSONS
STOP! IMPORTANT: Please CHECK AVAILABILITY to make sure there is a time that works for your family prior to paying.

* Indicates required field

Family Last Name *

How did you hear about SOS? *

Who can we thank for your referral? *

Select Start Date & Time (Please check availability below)

We make every attempt to keep the availability information current. If there is a conflict, we will contact you as soon as possible to arrange another option.

Number of children registering for lessons *

2014 Start Date Requested *

Start Time Requested *

Special Notes: *

I have read and signed the ENROLLMENT PACKET *

YES

I have read and signed the WAIVER OF LIABILITY *

YES

PayPal Receipt Number for Registration Fee & 1st Week Lesson Fees For Each Child *

Total Amount Paid Via PayPal *

SUBMIT REGISTRATION FORMS

In the event lessons have to be cancelled at the last minute to due weather or other unforeseen circumstances, please provide us the best contact.

Best Contact for Cancellation -Name & Number *

Mother

Mother's Name *

Mother's Cell Phone *

Mother's Work Phone *

Mother's Email *

Father

Father's Name *

Father's Cell Number *

Father's Work Phone *

Father's Email *

Child's Primary Address *

Line 1

Line 2

City

State

Zip Code

Country

Student Information

1st Child

1st Child's Name *

First

Last

1st Child- Select One *

Gender *

1st Child - DOB *

1st Child - Age In Months *

1st Child - Choose Skill Level That Is Most Accurate *

1st Child - Special Notes *

2nd Child (Scroll Down If Complete)

2nd Child's Name *

First

Last

2nd Child - Choose Skill Level That Is Most Accurate *

Gender *

2nd Child - DOB *

2nd Child - Age In Months *

2nd Child - Select One *

2nd Child - Special Notes *

3rd Child (Scroll Down If Complete)

3rd Child's Name *

First

Last

3rd Child - Choose Skill Level That Is Most Accurate *

Gender *

3rd Child - DOB *

3rd Child - Age In Months *

3rd Child - Select One *

3rd Child - Special Notes *

Submit Schedule Request

SCHEDULE LESSONS

Select Start Date & Time (Please check availability below)

Complete Registration

In the event lessons have to be cancelled at the last minute to due weather or other unforeseen circumstances, please provide us the best contact.

Mother

Father

Student Information

1st Child

2nd Child (Scroll Down If Complete)

3rd Child (Scroll Down If Complete)

Registration Step #5- Schedule Lesson Times

Click Here to learnWhat to expect the first day

SCHEDULE LESSONSSTOP! ﻿IMPORTANT: Please﻿ CHECK AVAILABILITY to make sure there is a time that works for your family prior to paying.

Select Start Date & Time (Please check availability below)

SUBMIT REGISTRATION FORMS

In the event lessons have to be cancelled at the last minute to due weather or other unforeseen circumstances, please provide us the best contact.

Mother

Father

Student Information

1st Child

2nd Child (Scroll Down If Complete)

3rd Child (Scroll Down If Complete)

Registration Step #5-
Schedule Lesson Times

Click Here to learn
What to expect the first day

SCHEDULE LESSONS
STOP! IMPORTANT: Please CHECK AVAILABILITY to make sure there is a time that works for your family prior to paying.