Registration / Medical Review  2022
Spring House Inn, Porter, Indiana
Instructor: Karen Chavez

Thank you for choosing Watch Me Swim, LLC. We are honored to be partnering with the Cast Water Safety Foundation and Spring House Inn to bring Tampa, Florida's leading provider of self-rescue swim lessons to Indiana. You are registering for lessons with Instructor Karen Chavez. All information is strictly confidential and will not be shared with a 3rd party.

General Availability:       The Spring House Inn
                                        303 N. Mineral Springs Road, Porter, Indiana 46304
                                        7:00 a.m. - 9:00 a.m. 
WMS Registration Fee:   $90 Registration Fee per new student.
                                       $30 paid annually for each returning student after the 1st year.
                                        All registration fees must be paid online to Watch Me Swim, LLC.
Weekly Tuition:             $90 per child, per week.
                                      Paid directly to Karen Chavez                

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 WMS Registration Fee is required at the time of submitting this form. Lessons are reserved on a first come first serve basis. If the WMS registration fee is not received at time of submitting this form, 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.

Student One Information

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