Parent's Name (required)
Phone Number
Address
Email
Child or Children's names
Birthday
Ability Level BeginnerIntermediateAdvanced
Age Group Under 33-5 years old6-12 years old
Choose a Location SummerlinCentennialHenderson
How often would you like to come swimming? 1 x per week2 x per week3 x per week
What type of swim lessons are you interested in? GroupPrivateExpress Swimming ProgramUnsure
Preferred Times 9am-11am11am-1pm3pm-5pmafter 5pm
