Swimming Lessons Registration

To register for swimming lessons:

Complete the form below
Each student must have their own registration form.
PLEASE fill in all applicable fields.
Please review the Swim Schedules prior to filling in this form to get day, class, time and fees.
Submit your registration, Please allow 24 hours to process registration
You will be contacted only if your class is NOT available. Otherwise, feel free to contact SeaVentures to verify your class and time.

Sorry... We can't send an email confirmation once you have registered, but you are more than welcome to call us the next day to make sure we got your registration.

If you are new to our program, please come by and say hello and take a tour of our facility. We look forward to seeing you at your lesson!

Don't forget to check out our web site for other exciting activities at SeaVentures like Birthday Parties, Kids Night Out and SCUBA lessons!.

Parent/Guardian Information

First Name: *

Last Name: *

Street Address: *

City: *

Zip Code: *

Cell Phone: *

Home Phone: *

Work Phone:

E-mail: *

Student Information

Student's Name: *

Age: *

Birth Date: *

Does the student have asthma?: *

If yes, explain:

Please provide the following swim session information:

Class 1:

Session: *

Class/Level: *

Class Day: *

Class Time: *

Fee: *

Class 2:

Session:

Class/Level:

Class Day:

Class Time:

Fee:

Class 3:

Session:

Class/Level:

Class Day:

Class Time:

Fee:

Class 4:

Session:

Class/Level:

Class Day:

Class Time:

Fee:

Were you Referred?:

If so, by whom?:

Comments:

Please provide the following billing information. Please be sure your fee total is correct, including the registration fees.

Credit Card: *

Account Number: *

Expires: *

CVV: *

Total: * $ Please add registration fee of $35.00 if not yet paid for the current year -covers sessions from January to December.

You must agree to the SeaVentures Terms and Conditions as stated in the Swim Program Policies & Release. By Pressing the Submit button below, you state you have read and agree with the terms as stated in the agreement, and you authorize SeaVentures to charge your credit card for the correct amount for the lesson(s) for which you would like to register.

If you have read and agree to the terms in the Participation and Release Agreement, please type the word yes here:: * (lower case only)