Swimming Group Lessons - Alpha School

Enrollment Form

Enter Parent / Legal Guardian Information

Parent / Legal Guardian - First Name *

Parent / Legal Guardian - Last Name *

Phone *

Email *

Address *

City *

State *

Postal code *

Enter the Student Information:

Number of children to enroll *

1

2

3

Swimmer 1 - First Name *

Swimmer 1 - Last Name *

Swimmer 1 - Date of birth

Swimmer 1 - Level *

Beginner

Intermediate

Advanced

Swimmer 2 - First Name

Swimmer 2 - Last Name

Swimmer 2 - Date of birth

Swimmer 2 - Swimming Level

Beginner

Intermediate

Advance

Swimmer 3 - First Name

Swimmer 3 - Last Name

Swimmer 3 - Date of birth

Swimmer 3 - Swimming Level

Beginner

Intermediate

Advance

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