H2O @ Home
Fill out the form carefully to register for our H2O @ Home program, and one of our team members will be in contact with you to schedule your lessons. Please note: this registration is for swimming lessons in your own backyard pool, not at our facility.
Contact Person Name
*
First Name
Last Name
Email
*
example@example.com
Phone Number
*
Address of your Pool
*
Street Address
Street Address Line 2
City / Town
Province
Postal Code
Student Names & Ages
*
Lesson Structure
*
Please Select
Week-long Intensives (everyday for 1 week)
Once per week
Custom
What time of day are you requesting?
*
Please Select
Morning
Afternoon
Evening
Anything else we should know?
Submit
Should be Empty: