2018: registration FORM  -- OPEN!

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.  

This Registration form is for Traditional Swim Lessons including PRIVATE, SEMI-PRIVATE, and SMALL GROUP LESSONS scheduled from May through July.  

FOR ISR REGISTRATION (which is a separate registration process):    please email InfantSwimTexas@gmail.com

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 72 hours during peak registration week for a response.   
  • 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 72 hours 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.