Time slots are filled on a first-come, first-serve basis. Please carefully read the details provided on the screen after you submit your registration form. All necessary deposit information will be there for you.
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Has anyone in your family taken lessons with Coach Allison before?
yes
no
Swimmer's FIRST Name
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Swimmer's LAST Name
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Swimmer's Date of Birth
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MM
DD
YYYY
Male / Female
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Male
Female
Parent / Guardian FIRST Name
*
Parent / Guardian LAST Name
*
Phone
*
(###)
###
####
Email (all communication will come to this email address)
*
Address
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Address 1
Address 2
City
State/Province
Zip/Postal Code
Country
Emergency Contact's Name
*
First Name
Last Name
Emergency Contact's Phone Number
*
(###)
###
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Relationship to Swimmer
*
What are you signing up for?
*
7-day Learn-to-Swim
Refresher & Strokes
Which session is best for you?
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1: April 29, 30, May 1, 2, 5-7 (8)
2: May 12-17, 19 (30)
3: May 20-23, 27-29 (30)
4: June 2-6, 9, 10 (11)
5: June 12, 13, 16-20 (21)
6: June 23-27, 30, July 1 (2)
7: July 14-18, 21, 22 (23)
If your preferred session is full, what would be your next best option?
*
1: April 29, 30, May 1, 2, 5-7 (8)
2: May 12-17, 19 (30)
3. May 20-23, 27-29 (30)
4: June 2-6, 9, 10 (11)
5: June 12, 13, 16-20 (21)
6: June 23-27, 30, July 1 (2)
7: July 14-18, 21, 22 (23)
Physical Restrictions and/or Allergies
What is your primary goal (survival skills, comfort in water, stroke mechanics, etc)?
Additional Information I Should Know . . .
Who can I thank for referring you?
Lastly, a $100 non-refundable deposit is required to hold your spot. Once you submit your registration, you will see a pop-up window with information on how to submit your deposit. Please confirm that you understand this policy.
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I understand the $100 is non-refundable once Coach Allison and our family agree on a session and time.
I have a question; will email Coach Allison.
**IMPORTANT INFO // PLEASE READ**
Thanks for signing up for swim lessons! Your registration form is being processed and you should receive an email from me "shortly" (please give me 7-10 days before reaching out).
In the meantime, in order to hold your spot, please send $100 non-refundable deposit ($50 for Refresher & Strokes) written out to "Allison Dubovsky" to:
640 Weatherly Lane (30328)*
*Please make note of the above address as that is where lessons are held.
If I have not received your deposit within 5 business days, your spot will be released to another applicant. I greatly appreciate your promptness and look forward to swimming with your little one(s) in just a few months.
Best,
Coach Allison
