Splash Auburn Swim School Waitlist Form
Please fill out your details and preferences to join our waitlist. Have your information ready.
Parent Full Name
*
First Name
Last Name
Phone Number
*
Please enter a valid phone number.
Format: (000) 000-0000.
Email Address
*
example@example.com
Preferred Method of Communication
Please Select
Email
Text
Either
Child's Full Name
*
First Name
Last Name
Child's Date of Birth
*
-
Month
-
Day
Year
Date
Do you currently have access to a pool for lessons?
Yes
No
If Yes:Where is the pool located? (Neighborhood, subdivision, facility, or address)
Has your child had previous swim lesson experience?
*
Yes
No
How would you describe your child’s current swimming ability?
Please Select
No Water Experience
Fearful of Water
Comfortable in Water but Cannot Swim Independently
Can Float with Assistance
Can Swim Short Distances
Independent Swimmer
Not Sure
Is your family currently enrolled or have you previously enrolled with Splash Auburn Swim School?
Current Family
Returning Family
New Family
What fears does your child have?
Water on Face
Going Underwater
Floating on Back
Deep Water
Separation from Parent
New Environments
Loud Noises
None
What floatation devices does your child use?
Puddle Jumper
Arm Floaties
Life Jacket
Pool Noodle
Goggles Required
None
Does your child have any special needs or sensory considerations?
What are your goals for swim lessons?
Water Safety
Drowning Prevention
Confidence in Water
Independent Swimming
Stroke Development
Parent Peace of Mind
Special Needs Support
Which program(s) are you interested in?
Ages 1-3 Program
Ages 4+ Program
Summer Lessons (Private Pool Required)
Fall Lessons at Lake Wilmore Aquatics Center
Year-Round Lessons
Not Sure Yet
Schedule Flexibility
Please Select
Very Flexible
Somewhat Flexible
Limited Availability
Preferred Lesson Location
Please Select
Auburn
Opelika
Indoor Pool Program
Flexible/No Preference
Other
How did you hear about Splash Auburn Swim School?
Please Select
Friend/Family
Social Media
Online Search
Flyer or Poster
Other
Join Waitlist
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