Registration

Parent or Guardian Information

By submitting this registration you agree that you have read and understand the Policies & Procedures. Items marked with * are required.

Adult's First Name*

Adult's Last Name*

Street*

City*

State*

Alabama Alaska Arizona Arkansas California Colorado Connecticut Delaware District of Columbia Florida Georgia Guam Hawaii Idaho Illinois Indiana Iowa Kansas Kentucky Louisiana Maine Maryland Massachusetts Michigan Minnesota Mississippi Missouri Montana Nebraska Nevada New Hampshire New Jersey New Mexico New York North Carolina North Dakota Ohio Oklahoma Oregon Pennsylvania Puerto Rico Rhode Island South Carolina South Dakota Tennessee Texas Utah Vermont Virginia Virgin Islands Washington West Virginia Wisconsin Wyoming

ZIP*

Email*

Best Contact Number*

Swimmers' Information

First Swimmer's Name*

First Swimmer's Age*

Level*

WB 1 2 3 4 5

Returning student*

•    Yes
•    No

Previous Instructor

Second Swimmer's Name

Second Swimmer's Age

Level

WB 1 2 3 4 5

Returning Student

•    Yes
•    No

Previous Instructor

Third Swimmer's Name

Third Swimmer's Age

Level

WB 1 2 3 4 5

Returning Student

•    Yes
•    No

Previous Instructor

Fourth Swimmer's Name

Fourth Swimmer's Age

Level

WB 1 2 3 4 5

Returning Student

•    Yes
•    No

Previous Instructor

Swim Gear

Please indicate the number of items you need to purchase.

Goggles

Swim Cap

Swim Pants

Private Lessons - 2 Week Sessions, 4 Lessons per Week

Please select the sessions(s) you prefer and note the time(s) you would prefer. Please check the Swim Lessons & Camps page for times.

Preferred Private Session(s) 2wk

•   August 17 - 27

Preferred Time Frame

.

Private Lessons - 4 Week Sessions, 2 Lessons per Week

Please select the sessions(s) you prefer and note the time(s) you would prefer. Please check the Swim Lessons & Camps page for times.

Preferred Private Session(s) 4wk

•   August 3 - August 27

Preferred Time Frame

Water Babies

Please select the sessions(s) you prefer and note the time(s) you would prefer. Please check the Swim Lessons & Camps page for times.

Water Babies - PRIVATE LESSONS ONLY

•   see private lessons

Preferred Time Frame

Adult Lessons - 4 Week Sessions, 2 Lessons per Week

Please select the sessions(s) you prefer and note the time(s) you would prefer. Please check the Swim Lessons & Camps page for times.

Adult Sessions

•   August 3 - August 27

 

Warm Water Walking

Please select the sessions(s) you prefer and note the time(s) you would prefer. Please check the Swim Lessons & Camps page for times.

Warm Water Walking Sessions

•   August 3 - 27

 

Camp All Swim

See the Swim Lessons & Camps page for details.

Camp All Swim

•   Friday...TBD

A Couple More Things...

Does your chiId have Special Needs? Please fill out Special Needs Questionnaire for appropriate placement.*

Parents of Special Needs children must fill out this online Special Needs Questionnaire to register.

Where did you learn about us?*

What school does your child attend?*

Please sit back on the benches and relax. For the privacy and protection of all swimmers, videos & pictures may be taken only on the last lesson of the session, just prior to the end of the lesson. Make sure your flash is off as flash photography is a distraction to all lessons.

OK*

Swim Pants
All children under 3 years of age are required to wear 2 non-disposable swim pants. If your child is 3 years old and potty-trained they are required to wear 1 non-disposable swim pant until their 4th birthday.

OK*

Caps are required for all swimmers (except Water Babies). Caps keep hair out of your swimmer's face and out of the water and filters, keeping our pool as clean as possible. Caps also help goggles to stay secure on the head.

OK*

At lesson time your child's name will be called by an instructor in the pool. As quickly as possible scoot your little one out to their instructor, the quicker you can make the exchange the easier it will become. Ages 2 and 3 have the most difficulty, if your child starts to cry, calmly pass them to the instructor; do not let your child stall your departure. It may take a week for them to become accustomed to the routine. If you stay out of their eye view, they will settle, bond with their instructor and soon be swimming like a fish. Hang in there, before you know it they will be walking right into their instructor’s arms! Do not worry, if your child’s crying is too disruptive the instructor will return them to you!

OK*

Let your child hear how excited you are about his learning to swim, use positive words; “Wow, you should have seen my son in swimming today!” “He is really learning to float!”  Words such as “scary, drowning, and deep end” set them up to be fearful.  Children learn how to respond to situations by watching their parents; your child will pick up on your positive attitude!

OK*

Your child may enter & exit lessons from the covered back area or the air-conditioned observation room; you are welcome to observe from either area. The Back Area will be open on warm non-windy days. In order to keep our deck clean and prevent distraction please do not cross the deck. Children are to be supervised at all times.

OK*

All attempts are made to keep the same instructor within a session. If your instructor is absent we will provide a substitute. If we cannot, we will provide another lesson time. If you are going to miss a lesson, call the office, we can then let your instructor know. Please come to as many lessons as possible, as we do not offer make-ups, refunds, or credit for missed lessons.

OK*

Due to COVID: If you or your swimmer is sick, STAY AT HOME! Enter through the front of the building and exit the back gate, one-way traffic flow. Please come & go in swimsuits (wrap & go), dressing rooms will not be available. Avoid unnecessary touching by coming already prepared to swim, use the restroom prior to arriving and wrap up to leave immediately after class. Those entering the facility may be checked for temperature. Anyone 100 or over will not be permitted. Bring your own water bottles & sanitizing wipes. Adults are required to bring and wear masks. Hand sanitizer will be provided at the entrance & exit. Only 1 (ONE) adult at lessons. Please do not bring additional guests. Due to product availability pool will be sanitized with either hydrogen peroxide/UV or chlorine/UV. We are in this together, please clean up after yourselves, thank you for your cooperation and patience as we work through this time!

OK*

During lightning storms, lessons will be delayed or cancelled. Due to the inconsistency of storms, we cannot predict if your lesson will be on time. We want to have you in the pool within your time scheduled, if not your lesson will be canceled.

OK*

Please do not bring glass to the facility inside or out. There is no smoking anywhere on the premises. As a courtesy to others please keep cell phone conversation outside. Due to environmental allergies, this is a fragrance-free facility. Payment for purchased items is to be left at the office on the day of purchase.

OK*

Questions, comments or compliments can be brought to the office; we will pass them on to the instructors.  Thank you for your cooperation with Kay's All Swim School policies, it makes everyone’s day easier! Lessons fill very quickly; sign up now for continuing lessons. Thank you for sharing your children with us!

OK*

I agree to assume all liability for my children, myself, and my family without regard to fault and further agree to hold harmless Kay’s All Swim School LLC, owner, or any of the employees, trustees, agents, volunteers, contractors, program participants and their families for any complications or injury that may result from my child, myself, and my family while attending. I acknowledge that I am aware that there are risks to me and exposure to directly or indirectly arising out of, contributed to, by, or resulting from: An outbreak of any and all communicable disease, including but not limited to, the virus "severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2)", which is responsible for Coronavirus Disease (COVID-19) and/or any mutation or a variation thereof:  I understand that children need supervision around or near water at all times. The registered swimmers have no medical conditions that will affect participation in lessons. I understand there are no make-ups or credit given for missed lessons. I understand the fees & tuition.  KASS staff rules and decisions are final.  I agree that any photos taken by Kay’s All Swim School may be used in advertising without charge or any further permission.   I have read the Policies & Procedures and understand its content.

By submitting this form, you confirm that you have read and agree to the Policies & Procedures

Policies & Procedures*

•    I agree.

This form has been successfully submitted when you see the "Thank You" page and email notification. If you do not see these the registration form has not gone through. When we receive the registration we will call you for billing information (Visa or MC only). Lessons are confirmed once we have billing information and confirmation of availability. If you do not hear from us within 24 hrs please call. Registration is required one time a season, if you wish to register for additional lessons within the current season just give us a call. Thank you & Happy Swimming!