Splash Rite Registration Form
  • Splash Rite Swim School/Splash Rite Foundation

    REGISTRATION FORM
  • Follow us: FB: @Lotta D Todd, IG: @splashriteswim, and IG: @pangsbooks,

  • Non-refundable registration fee is required within 72 hours of registration to secure enrollment.

  • Today's Date*
     - -
  • Type of lesson? (Please select only one (1) option)*

  • Are you interested in becoming a member of the Aurora, NAACP?*
  • Swimmer's Gender*
  •  -
  • Do you receive text at this number? Only used for swim school notifications.*
  •  -
  •  -
  • Do you receive text at this number? Only used for swim school notifications.*
  • Current Skill Level (Please choose most accurate response)*

  • 1ST CHOICE - 2nd AURORA, CO, NAACP SWIM CAMP EVENING SCHEDULE 2026*

  • CHECK ALL THAT APPLY FOR CHOICE(S) - 2nd AURORA, CO, NAACP SWIM CAMP EVENING SCHEDULE 2026*

  • MEN ONLY GROUP LESSON - FIRST CHOICE - TIME (Please Select One Preferred Time) Starting June 5, 2026 - month-to-month, 30-mintue lesson*

  • Men Start Date*
     - -
  • Men Alternate Start Date (only if applicable)
     - -
  • KID'S GROUP LESSON - FIRST CHOICE - TIME (Please Select One Preferred Time) Starting June 5, 2026 - August 28, 2026 month-to-month, 30-minute lessons*

  • KID'S GROUP LESSON - SECOND CHOICE - TIME (Please Select One Preferred Time) Starting June 5, 2026 - August 28, 2026 month-to-month, 30-minute lessons*

  • Kid's Start Date*
     - -
  • Kid's Alternate Start Date
     - -
  • How did you find us?*

  • Do you give permission to have photographs of your child taken?*
  • Your social media platforms:
    Instagram:@
    Facebook:

  • Other social media platforms:
    Other:
    Other:

  • All information provided in this registration form is true and accurate to the best of my knowledge.*
  • We look forward to splashing with you soon!

    Stay connected: FB: Lotta D. Todd, IG: @splashriteswim and @pangsbooks
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