Registration / Medical Review  2023
Boston (area), MA

Thank you for choosing Watch Me Swim. You are registering for lessons with Alicia Brown. All information is strictly confidential and will never be shared with another party.

BEFORE YOU BEGIN: Please email your Instructor, Alicia Brown before you complete this registration form at

Student One Information

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Does this child attend daycare/preschool either full time or part time? *

Student One Health Information

Has This Student Ever Been Seen By A Medical Specialist Other Than His Pediatrician? *
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Does this student have any health issues or concerns such as allergies, current medications, therapy, history of seizures, etc. *
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Will You Be Registering A 2nd Student? *
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