Registration / Medical Review  2021
Valrico Location

Thank you for choosing Watch Me Swim. You are registering for lessons with Jaime Brownlee. 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 (if applicable) is required in advance. Lessons are reserved on a first come first serve basis. If payment is not received within 3 days of submitting this form, your requested date and time will be given to the next paid student. Early registration is highly recommended to avoid being put on a waiting list. For additional payment information please visit: http://watchmeswim.com/tuition.html

Location:  Private Residence, 2804 Kimmi Tree Lane, Valrico, FL  33594
 
General Availability:    Email: WatchMeSwimValrico@gmail.com for availability information.                     

Student One Information

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Start Date and Lesson Time

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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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