ISR Jennifer Winsbro WAITLIST Contact Form

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Guardian's Name* This field is required.
First Name
Last Name
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Child's Name* This field is required.
First Name
Last Name
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Email* This field is required.
example@example.com
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Phone Number* This field is required.
Area Code
Phone Number
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Child's Age* This field is required.
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My child is a....* This field is required.
First Time Student
Refresher Student
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Do you have another child (or children) taking ISR lessons with me?* This field is required.
YESNO
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Please provide the name(s) and age(s) of siblings currently enrolled or to be enrolled in ISR lessons with me:* This field is required.This allows me to schedule your children's lessons back to back.
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I understand that these private, one-on-one ISR lessons occur for 10 minutes, four days a week (M-F) and continue until children are able to demonstrate reliable self-rescue skills (approximately 6 weeks).* This field is required.For more detailed information on ISR lessons please visit www.infantswim.com
Agree
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Please tell me about your availability. * This field is required.If you are only available after a certain time of day or certain days of the week, please provide that information here. This information ensures a smooth scheduling process.
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Ok
Ok
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How did you hear about us?
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Ok
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If a friend or family member recommended me, please tell me who I should thank!
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There is currently a waitlist for my ISR lessons. By completing this sign up form, you are simply expressing your interest in my ISR lessons. Please keep in mind that you are not officially enrolled in my ISR lessons until I reach out to you to confirm that I have received your submission AND have the availability. I will reach out to individuals on first come, first serve basis as soon as availability arrises. Thank you for your interest in my ISR classes!* This field is required.
Agree
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