Registration Form:

  Summer 2010

*Please be sure to check the class schedule first for dates, pricing and more complete information.  If you are unable to operate the navigational buttons, follow this link to the class schedule and pricing.

Fill out the form below and click on the gray submit button when you have finished. You should be redirected to a confirmation page when done correctly. If you do not get the confirmation page or if the confirmation page does not fill in the specific information that is listed, then we will NOT receive your registration form!  If this happens, please call or e-mail our office so that we may check for your registration info, it seems that certain firewalls do not seem to be sending the appropriate info.  (Internet Explorer works great, firefox seems to have some problems.)

 You can also fill out then print the form and mail  it with a check to become enrolled. Please be sure to notice the priority deadlines for enrollment.

 

Last Name     First Name

Address   

City              State     Zip

Age     Birthday     Sex 

School Name      Grade 

Last Session with SwimKids

Siblings Enrolling in Same Session

Parent's Name

  Home Phone         Cell Phone

Work Phone           E-mail Address  

Medical Conditions relevant to SwimKids:

Swimming Ability and Water Experience 

(Ex. Blows bubbles, Face in water, Submerges, Dog paddles, Swims with breath, Distance able to swim, Other strokes, etc. It is very important to be as explicit as possible--the more information you provide us, the better we are able to schedule your child's lessons around his/her ability).

 

 

 

Sessions:            

 

Four Times Per Week
Two-Week Sessions

Two Times Per Week
Four-Week Sessions
 

      May 17 - May 28 
        May 31 - June 11
     June 14 - June 25
       June 28 - July 9
      July 12 - July 23
        July 26 - Aug 6


       May 17 - June 11
     June 14 - July 9  
    July 12 - Aug 6**
  • These classes meet Monday through Thursday. 
  • These sessions offer 8 lessons in 2 weeks.
  • Baby & Tot Classes are not offered in these sessions.
  • Priority deadline is 7 days prior to the start date of each session. After the priority deadline, classes will be filled on a space available basis.
  • These classes meet either Monday and Wednesday OR Tuesday and Thursday.
  • These sessions offer 8 lessons in 4 weeks.
  • Baby & Tot Classes are ONLY offered in these sessions.
  • Priority deadline is 7 days prior to the start date of each session. After the priority deadline, classes will be filled on a space available basis.

                        

 

 

Class Options 

 

Please select your first choice for a session time    

Please select your second choice for a session time 

Please select your third choice for a session time   

Note:  Please select below Monday, Tuesday, Wednesday, OR Thursday.  TWO days per week classes meet either Monday and Wednesday OR Tuesday and Thursday.  Additional available days can be requested in the Other Considerations box below.

Please choose the day(s) for your session

Note: Sessions are also grouped according to ability, therefore your first choice for a session time might not be available.  We use ability, age, and time choices to schedule the classes.

Other considerations SwimKids should know about:  (i.e., additional times or days you may be able to come, schedule restraints, etc.). 

How did you hear about SwimKids?      

    This form will submit your registration information to SwimKids. SwimKids must receive the registration fee & deposit from all swimmers in order to schedule their classes. After submitting your registration, please submit the following fees as applicable.:

    Each registered swimmer owes a $25.00 deposit. The $25.00 deposit will be subtracted from your lesson fee.

    The $15.00 Spring Registration Fee is owed by ALL SWIMMERS and covers from March 1, 2010 through February 2011.

    You should mail your deposit/registration fee or you may pay with your VISA/MasterCard -- see below.  All balances are due at the first lesson unless one of the payment methods listed below is chosen.

Multiple Child Discount:  Will be applied for each subsequent child in the immediate family also registered for the same 2010 Session; amount according to the number of lessons registered (see class schedule for pricing).  For every cancellation within the family, one discount will be forfeited.

Check for the Multiple-Child Discount, if eligible:

Bank Check Payment Plans: 

SPRING 2010: We are offering a payment plan of 2 equal monthly payments, after the deposit and registration fees are received-$40.00 total.  Payments are due the weeks of March 1st and April 5th.

Check to use Bank Check Payment Plan:

VISA/MasterCard Payment Method:  To pay with your VISA or MasterCard you will need to call our office with payment information.  For your convenience you may pay all your fees up front with your credit card or you may just charge the deposit/registration fee.  The balance will then be due at the first lesson at the pool using a check -- VISA/MasterCard payments will not be able to be made at the pool and must be charged at the time of registration.  (Please note that we are in the process of having a payment page developed so that you will be able to submit your credit card information online.  Until then, we appreciate your patience as we make these changes for your convenience.)

Check to use VISA/MasterCard for full payment:

Check to use VISA/MasterCard for deposit/registration fee only.  Balance to be paid by check at 1st lesson at pool:

Parents/Responsible adult:

-I understand that the deposit is non-refundable if classes are not cancelled by Feb. 26 for the Spring 2010 Session or and that the annual registration fee is entirely non-refundable.

-I understand that SwimKids Session is for the session chosen above and I am responsible for the full amount.

-I understand a $5.00 late fee will be added to my balance after the 2nd lesson.  If using payment plan, SwimKids does not send out statements.

 

  We begin scheduling classes for each session following the priority deadline.  We group children by ability level and age while trying to accommodate 1st and 2nd schedule choices for times and days. If the classes you request are full or do not have enough participants, we will contact you to choose other times or days. Otherwise, you will receive a post card and phone call to confirm your classes.  You should receive your post card within one week prior to the start of classes.

 

SwimKids, Inc.                            Phone or Fax:

P.O. Box 2365                            (205)752-SWIM

Tuscaloosa, Al 35403                                 (7946)

  Please only click these buttons one time.  Thanks!

 

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