Interest in Swim Lessons in Coral Springs

Ready to get started? Just complete the form below and we'll call you to discuss a day and time for your lessons.  If you have questions, we'd be happy to answer any of them. Call us at 954-509-0089 or click on the following links.

  swimming lessons            swimming lessons          swimming lessons       swimming lessons
Hours
NOW 7 DAYS!
Sat 8 am - 3 pm
Sun 1 - 5 pm,
M-F 10 am - 7 pm
  Babies
From 3 mo.to 2 1/2 yrs
3 levels of classesClick here to see videos.
  Children
Class size of 5, certified instructors, 10 levels of skill-based classes, weekly updates, medals
  Pricing
Monthly Plan $85.00 for weekly 30 minute lesson is our best value, or choose new daily lessons for one week.  Click here for details

What motivated you to call today : 


Contact Information

First Name : 
Last Name : 
Email : 
Phone : 
Cell Phone : 


Child's Details
If you are interested in adult lessons, just indicate your skills below.

Child's Full Name : 
Age : 
Birthdate : 
Skills : 
 No swim skills
 Puts whole head under water
 Floats on back for at least 5 seconds
 
Does your child have any special needs? Comments : 


Second Child

#2 Child's Full Name : 
Birthdate : 
Skills : 
 No swim skills
 Puts whole head under water
 Floats on back for at least 5 seconds
 
Does your child have any special needs? Comments : 
 


Schedule Preferences

Our best loved plan is a monthly program that allows you one 30 minute lesson every week.  Select the day and time that works for your schedule.

Time : 
 Mornings  Afternoons  Evenings
Day : 
 Saturday  Sunday  Monday
 Tuesday  Wednesday  Thursday
 Friday    

We are offering daily lessons for one week (Monday through Thursday between 4:00 - 7:00 pm) for $99 plus $20 registration & equipment fee.  Select the week you want and we'll contact you to finalize the time.

Week : 
 March 26 - April 2  June 7 - June 18
 June 21 - June 25  June 28 - July 2
 July 12 - July 16  July 19 - July 23
 July 26 - July 30  August 2 - August 6



How have you heard about us?  Please check all that apply.  If you were referred by friends, please provide their name(s) so that we may thank them or credit their account with $25 Splash Cash.

 

Marketing : 
 Referred by a friend  USSA Website  Safety Presentation
 Referred by a doctor  Google Search  SWIM Central
 Mailer Coupons  Facebook  Drive by/Signage
 Car Ad  Internet-other websites  Handed a Flyer
 
If referral, name : 

 

Payment Information
With summertime volume we cannot always process credit cards poolside.  We ask that you provide payment information below in these secure fields.  If you'd rather this can be addressed on the phone when we're confirming your schedule or you could come into our administrative offices at 734 Riverside Drive (just 4 doors down from the pool). Thank you!

 

Card Type : 
Credit Card Number : 
Exp. Date : 
 
Billing Address : 
Billing Address 2 : 
City, State, Zip : 
 
Comments : 

 

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