Request For Swim Lessons

Please note that your child is not registered until you have received a confirmation from our team AND completed your payment.

Payment MUST be completed within 48 hours of the confirmation in order to secure a spot.

Registration opens for members ONLY at midnight, April 21, 2024. Non-member registration will open on Thursday, April 25, IF space allows. Early registrations will not be accepted and will be deleted.

Contact Information

First Name

Last Name

Address

Address 2

City

State

Zip

Cell Phone

Secondary Phone

Email

Best Place to Contact

Participant Information

1st Participant's Name:

Participant Member Number

DOB and Current Age if a child

Lesson Level Requested:

Lesson Day Preference 1:

Lesson Day Preference 2:

2nd Participant's Name:

Member Number

DOB and Current Age if a child

Lesson Level Requested:

Lesson Day Preference 1:

Lesson Day Preference 2:

3rd Participant's Name:

3rd Participant's Member Number

DOB and Current Age if a child

Lesson Level Requested:

Lesson Day Preference 1:

Lesson Day Preference 2:

I acknowledge that this is just a request for lessons and the lesson is not complete until you have heard back from The Works. Payment is required within 48 hours of staff confirmation by email or you will lose your spot. (Please check your email.)

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