2022 Safety First Swim School Pre-Registration

Winter Garden, FL

www.safetyfirstswim.com

321-236-0240 ext. 5

Student's Name: *

D.O.B. * +

Additional Student's Name:

D.O.B. +

Additional Student's Name:

D.O.B. +

Primary Contact First Name *

Last Name *

Street Address *

Address Line 2

City *

State *

Zip Code *

Cell Phone Number *

Email Address *

Swim Class * 🛈

*The survival swim program is 4 days a week, 15 min. each day Monday-Thursday for 6-8 weeks. Lessons start on a Monday and your time slot must be the same time each day. Consistency is important so please check your schedule for weeks that you may not be able to attend and schedule lessons accordingly. Due to the demand for lessons it is important to make the commitment.

April and May are Full. Booking currently for June or later. Lessons are only available between 8am-2pm in June and July. Due to afternoon thunder storms and having an outdoor location we will not be teaching late afternoon or evening lessons until after August.

Preferred Start Date: * +

Preferred Class Time:

Flexible 🛈

What is your child's previous aquatic history? Please indicate whether or not your child gets his or her face wet and if your child uses floaties. *

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Emergency Contact *

Cell Number *

Reminders:

Thank you for submitting your Pre-Registration for 2022.

Safety First Swim School will be contacting you as soon as an opening is available for your preferred start date and time.

If you need immediate assistance, please visit www.safetyfirstswimschool.com for more information or call 321-236-0240 ext. 5.

For Office Use Only:

Official Start Date:_____________________ Official Start Time: _____________________