Interest in Swim Lessons in Pembroke Pines

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       swimming lessons
Hours
Sat 9 am - 2 pm 
Tues & Thurs
10 am - 4:30 pm		   Babies
From 3 mo.to 2 1/2 yrs
3 levels of classes. Click here to see videos.
  Children
Class size of 5, certified instructors, 10 levels of skill-based classes, weekly updates, medals.
   Adults
New Group Lessons offers an economical choice in addition to our one-on-one Private Lessons 		  Pricing
Monthly Plan $85 for weekly 30 minute lesson.

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? Anything else you want to share?
 : 


Second Child
Add a second child for free the first month.  

#2 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? Anything else you want to share?
 : 
 


Scheduled Preferences

Time : 
 Mornings  Afternoons  Evenings
Day : 
 Tuesday  Thursday  Saturday



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  S.FL Parenting
 Referred by a doctor  Google Search  Davie Update
 SWIM Central  Facebook  Drive by/Signage
 Mailer Coupons  Internet-other websites  Car Ad
 Book n Cookin Presentation    
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 (4 doors down from our Coral Springs pool).  Thank you!

 

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

 

United States Swim Academy | (954) 509-0089
Coral Springs (Main Office): 744 Riverside Drive Coral Springs, FL 33071
Pembroke Pines: 17609 SW 2nd Pembroke Pine Florida 33329
Non-Profit Web Design by Admin eSolutions