Thank you for choosing Watch Me Swim, LLC, Tampa Bay's leading provider of self-rescue swim lessons. Your Instructor is MEGHAN STANEK. All information is confidential and will never be shared with a 3rd party.

General Availability: 5:20 p.m. - 7:00 p.m.

WMS Registration Fee: $90 paid one-time per new student. Nonrefundable.

$25 paid annually for each returning student after the 1st year.

All registration fees must be paid online to Watch Me Swim, LLC.

Weekly Tuition: $80 per child, per week.

Paid directly to Meghan Stanek via cash or check at poolside.

Location: Patterson Road, Lakeland, FL

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

Student's Last Name *

Student's First Name *

Age in months/yrs: *

Date Of Birth:
Must be atleast 6 months of age. * +

Gender *

What age (in months) was this child able to sit unassisted? *

T-shirt Size (for new students)

What are your child's interests or favorite character? (Paw Patrol, Cars, Sports, Ponies, Princess, etc.)

Choose Skill Level That Fits Best *

Please Describe All Previous In Water Experience * 🛈

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

Yes

No

Name of Preschool/Daycare:

Each class runs Monday - Thursday for approximately 6 weeks. All classes are individualized for each child and are approximately 10 minutes in duration. Please choose a 10 minute time slot between 5:20 p.m. - 7:00 p.m. These times are tentative and not a guarantee. If we cannot accommodate your requested start date and lesson time, you will be refunded the WMS registration fee. Choose your time slot: *

Scheduling Requests/Comment?

Name of Student's Pediatrician or Primary Health Care Physician *

Has This Student Ever Been Seen By A Medical Specialist Other Than His Pediatrician? *

Yes

No

If Yes, Please Explain & Include Date of Last Visit

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Does this student have any health issues or concerns such as allergies, current medications, therapy, history of seizures, etc. *

Yes

No

If Yes, Please Explain

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Will You Be Registering A 2nd Student? *

Yes

No