2019: registration FORM  -- OPEN!

This form is ONLY for Traditional Lesson registration for students ages 3 through 12.

PLEASE take your time completing this form.  
If you enter your email address or phone number incorrectly, I do not have a way to reach you.  

ALL LESSONS ARE “DROP OFF ONLY” — you will drop off your child on Monday, Tuesday, and Wednesday for their lessons and will leave the pool area. On THURSDAY you are invited to stay for the lesson for our “Show Off” day! Please refer to the Lesson Info tab for details and ensure you have a full understanding of our policies prior to continuing with this registration. Thank you for your cooperation!

This Registration form is for 2019 Traditional Stroke Lessons including
PRIVATE, SEMI-PRIVATE, and SMALL GROUP LESSONS scheduled from May through July.
Please note our NEW location in Richardson, TX!
(close to JJ Pearce HS, by Coit/Arapaho) 

FOR ISR REGISTRATION (which is a separate registration process):    
please email j.benners@infantswim.com

INSTRUCTIONS:
Once you submit your registration, I will call/text/email you in order of your registration and begin placing students onto the schedule. This is a unique process that I work diligently with to ensure that your child is being placed in the best class possible to meet their individual needs. This process can take at least 1 week, so please be patient as it may take several days for me to work through the registrations.

To register for 2019 Champions Week (for children with disabilities), please email swimmingwithjordan@gmail.com for a separate registration process.

REGISTRATION INSTRUCTIONS:  

  • 1. Complete this form. You can register up to 3 children per form. Please provide as MUCH detail as you can regarding their current swimming ability, this helps me place them in the best possible class.

  • 2. Once I process your registration in order it is received via this page, you will receive an email from me with availability for your selections from: swimmingwithjordan@gmail.com. Please allow at least 1 week for a response as this is a tedious process.

  • 3. When your schedule is set, you will receive a CONFIRMATION EMAIL from me that will include registration forms. Once you receive this Confirmation Email, you then have 1 WEEK to have all registration forms AND payment submitted. If you fail to complete your registration forms and payment, your slot will be released to the next individual in line

Parent's Name: *
Parent's Name:
Phone number: *
Phone number:

Child #1

Child's Name: *
Child's Name:
Check all that apply for Child #1: *
Select Child #1 Class Type *
Preferred Week(s) for Child #1
Select Child #1 Lesson Time *
Check all that apply
*Lesson weeks do not have to be consecutive*

Child #2

Child #2 Name:
Child #2 Name:
Check all that apply for Child #2:
Select Child #2 Class Type
Preferred Week(s) for Child #2
Select Child #2 Lesson Time
*Lesson weeks do not have to be consecutive*

Child #3

Child #3 Name:
Child #3 Name:
Check all that apply for Child #3:
Class Type:
Preferred week(s):
Champions Week
Preferred time slot(s):
Check all that apply
*Lesson weeks do not have to be consecutive*
Please include any other information here. If you want to be placed in a class with a friend, please list the other children's names and ages and I will do my best to accommodate.

I will respond to your Registration shortly!   Please allow up to 1 week for a response during peak registration.   PAYMENT IN FULL IS DUE WITHIN 1 WEEK OF EMAIL REGISTRATION CONFIRMATION. If payment is NOT received, I will contact you immediately and your child's swim slot will be released to another individual.  NO REFUNDS AFTER MAY 1, 2019