Registration


WELCOME! Thank you for your interest in Occoquan Swim Academy. Enrollment for lessons are ongoing throughout the year, unless otherwise specified (Custom, Express and Pace Club are not auto enroll classes). ALL STUDENTS ARE AUTO-ENROLLED FOR THE CURRENT CLASS REGISTERED, FOR EACH MONTH THEREAFTER, BASED ON THEIR INITIAL ENROLLMENT/REGISTRATION. If you DO NOT WISH TO BE AUTO-ENROLLED, you will need to indicate your desire to unenroll by the 15th of the month prior

*   denotes required fields

Referral Information
Family Information
Where do you live?
Click to Enter an International Number
Additional Info
Contact #1
How Can We Contact You?
Click to Enter an International Number
Click to Enter an International Number
Click to Enter an International Number
Portal Access (your email is your login)
(Emails are kept confidential)
Contact #2
How can we contact you?
Click to Enter an International Number
Click to Enter an International Number
Click to Enter an International Number
(Emails are kept confidential)
Student #1
(format=mm/dd/yyyy)
Additional Info

Please fill our the required fields. You may register for multiple classes and children in one registration (see below for class options & adding more children).

Enroll in Classes
Select Class *
Required Policies and Agreements
I Agree to All of the Above
Questions or Concerns
Payment Information
Please fill out CREDIT CARD Payment Method
Credit Card
eCheck/Bank Draft
(Your name on your bank statement)
(9-digit number)