Different Strokes Swim School - Water safety, swim lessons, water aerobics, backyard lessons

BACKYARD LESSONS

Information

Sessions Times and Fees

We require payment in advance to hold your class. We will send a registration form as your confirmation.

We accept cash, check, Visa and Mastercard.

To register by phone, click here for details

To register by mail, click here to print the registration form (pdf file). Fill out form and enclose it with a check made payable to Different Strokes Swim School and/or enclose your credit card information. Credit card account number, expiration date, and complete name of card holder as it appears on the card.

To register online, fill out the form below:

All participants are required to sign a liability
release form before lessons begin.

Student Information
First Name:
Last Name:
Date of Birth:	/ / mm/dd/yyyy
Gender:	Male Female
Water Comfort Level:
Skill Level:

Previous Swim Lessons:	Yes No
Where?

Session Selection
Session Preferred:
Time Preferred:
Lesson Type Preferred:

Parent/Guardian's Information
First Name
Last Name
E-mail:
Home Phone:
Work Phone:
Street Address:
City, State Zip	,
Subdivision Name:
Do you own your own pool?	Yes No

Emergency Contact Information
Name & Number:
Preferred Doctor:
Doctor Phone:

How did you hear about us?