Registration


Welcome to Splash! Swim and Wellness! Please fill out all fields completely. Once you have registered, you will be redirected to the Parent Portal where you can manage your child's classes. A credit card must be entered to complete the set up of your registration but nothing will be charged to your card until AFTER you register for a specific class, put it in your cart, and accept the fee. Then we will confirm your registration and process your card within 24 hours. Thank you!

*   denotes required fields

Referral Information
Family Information
Where do you live?
Contact #1
How Can We Contact You?
Portal Access (your email is your login)
(Emails are kept confidential)
Contact #2
How can we contact you?
(Emails are kept confidential)
Student #1
(format=mm/dd/yyyy)
Required Policies and Agreements
I Agree to All of the Above
Questions or Concerns
Payment Information
Credit Card