• Home
  • About Us
  • Our Program
  • Register
  • Contact Us
  • Swimming Classes in an indoor pool!
Call Us Today! 314.947.SWIM (7946)
Past customers, please click here!

Interest Form

First Name:
Last Name:
E-mail:
Phone:
Address:
City: State: Zip:
How did you hear about us?
who?
which?
where?
 
 
which?
where?
what?

Swimmer(s) Info

This information allows us to recommend the appropriate class times and level.
Child's Name: Birthdate:
Child's Gender:
Swimming & Water Comfort Level:
 

Availability

Preferred Class Times: Please check all that apply.
  Sat Sun Mon Tue Wed Thu Fri
Mornings
9:00am - Noon
Mid-day
12:00pm - 3:00pm
Afternoons
3:30pm - 4:30pm
Evenings
5:00pm - 6:00pm
   
Exceptions / Notes: (worship, sports, after 1pm on Mondays, school hours, naptimes)
Add Another Child Submit Form
Website design by Janet Lackey Design