Registration / Medical Review  2022

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

BEFORE YOU BEGIN: Due to the high volume of families served each year and in order to better streamline the scheduling process, payment of the first week's lesson fee and registration fee is required at the time of submitting this form. Time slots will not be reserved without payment. Lessons are reserved on a first come first serve basis. If payment is not received at the time of registration, your requested start date and lesson time will be given to the next paid student. Early registration is highly recommended to avoid being put on a waiting list.

Location:  FishHawk Ranch Starling Club Pool, Lithia, FL (NONRESIDENTS WELCOME)
General Availability:    Session 1 Start Date: July 11  -  August 18:  7:30 a.m. - 9:00 a.m. 
                                                                               Session 2 Start Date: Sept. 12 - October 20: 8:00 a.m. - 9:00 a.m. 

Student One Information

0/300 characters
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? *
0/300 characters
Does this student have any health issues or concerns such as allergies, current medications, therapy, history of seizures, etc. *
0/300 characters
Will You Be Registering A 2nd Student? *
Secured by Formsite