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Registration Form - Safety 1st Aquatics
Registration Form - Safety 1st Aquatics
Safety 1st Aquatics
Swim Lessons That Focus On Safety
Mobile Swim Lesson Registration Form
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First Name
Last Name
Email
Phone/Mobile
Where will lessons be taking place?
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In my Home or Pool
A Safety 1st Aquatics Pool
Where should we send an instructor?
Address Line 1
City
State
Zip Code
How many swimmers are taking lessons?
How old is the first swimmer taking lessons?
How old is the second swimmer taking lessons?
How old is the third swimmer taking lessons?
How old is the fourth swimmer taking lessons?
What best describes the first swimmer taking lessons?
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Beginner
Familiar
Advanced
Expert
What best describes the second swimmer taking lessons?
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Beginner
Familiar
Advanced
Expert
What best describes the third swimmer taking lessons?
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Beginner
Familiar
Advanced
Expert
What best describes the fourth swimmer taking lessons?
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Beginner
Familiar
Advanced
Expert
What date would you like to start?
Will the lessons be private, semi private, or group?
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Private (1 Swimmer Per Lesson)
Semi Private (2 Swimmers Per Lessons)
Group (3 Swimmers or More Per Lesson)
Have A Swim Instructor Reach Out To Schedule Me
How can we help you succeed?
Contact Us
Let's Get You Registered
How would You Like to Book with Us
Online Form Submission
