Samantha's Swimming Priority Email List
This form is for those who are interested in signing up for future private swimming lessons. Please remember, this form is not signing you up for lessons, it is to receive priority emails from us when we are scheduling. By filling out your information here, you will be notified when schedule announcements are be made. Swimming lessons are first come first serve. Our scheduling platform is through iClassPro (ICP) and the link to the portal may be found on our website. You are always welcome to to look for OPEN available times through the portal. WE HAVE A SUMMER SESSION ANNOUNCEMENT ONLY FORM- PLEASE SEE OUR WEBSITE.
What type of client are you?
Returning client
New client
Other
What session are you interested in?
Fall 2025 (Oct-Dec)
Winter 2026 (Jan-Mar)
Spring 2026 (April-June)
Summer 2026
Fall 2026
What type of lesson are you inquiring?
Infant Swim (ages 1-2)
Toddler/preschool (2-5)
Young Child lessons (5-12)
Advanced lessons/technical help/supplemental swim team work (13-17)
Adult Lessons (18 & older)
Other
Parent/Guardian Information
Parent/Guardian Name
First Name
Last Name
Parent/Guardian Phone Number
Please provide a number to receive text.
Parent/Guardian Email
*
example@example.com
Please tell us who referred you:
Please Select
Facebook
Google
A friend
If referred by a friend, who can we thank?
Child(ren) Information
Swimmer Name
*
First Name
Last Name
Date of Birth
-
Month
-
Day
Year
Date
School & Grade Level
Swimmer Name
First Name
Last Name
Date of Birth
-
Month
-
Day
Year
Date
School & Grade Level
Swimmer Name
First Name
Last Name
Date of Birth
-
Month
-
Day
Year
Date
School & Grade Level
Feel free to leave any questions, comments or concerns:
Submit
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