Seahorse Waitlist

Seahorse Waitlist

Please add each child you would like to be added to the waitlist.
Child #1

First NameLast Name
Child #1 Birth Date

MonthDayYear
Child #2

First NameLast Name
Child #2 Birth Date

MonthDayYear
Child #3

First NameLast Name
Child #3 Birth Date

MonthDayYear
Child #4

First NameLast Name
Birth Date

MonthDayYear

Parent Contact Info
Mothers Name

First NameLast Name
Fathers Name

First NameLast Name
Best Contact Number

Area CodePhone Number
Best Contact Email (this email will be used to reach out to you when a spot becomes available in the days/times you list. Please make sure to add scheduling@seahorseacademybend.com to your contacts list so it doesn't end up in spam!)
example@example.com

Getting to know your child!
Please tell us about each child’s swimming ability so we can match them with the best suited instructor! For example: Can they go underwater? Do they like to go underwater? Can they float on their back? Can they propel themselves forward in the water with their eyes in? The more information the better!! A couple things to keep in mind: Doggy paddling is NOT swimming, its active drowning behavior. Please don't list that as a skill as it is not one! If you are actively encouraging your child to doggy paddle please stop now!
Please tell us about each child’s personality. For example: Shy? Quiet? Outgoing?

Scheduling
Please tell us your preferred days/times for lessons. Keep in mind that a time frame (for example: Before 12 on Thursdays) is better than just a specific time. Sayings like Morning, afternoon, early evening are all VERY subjective and we have found over the years that those terms mean entirely different things to different people! Please refrain from using those terms so we can make sure we are all on the same page with what you are asking for! Also goes for school hours, there are lots of schools with all different hours so saying "after school" isn't as helpful as you may think it is!
If you were wanting to be with a certain swim instructor, please add their name below. If you don’t have an instructor in mind we will match your kiddo with the best one possible based on the info given on this form!
Should be Empty:

Parent Contact Info