Long Island Swim School

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Referral Information
Family Information
Where do you live?
Additional Info
Contact #1
How Can We Contact You?
Portal Access (your email is your login)
(Emails are kept confidential)
Who is your employer?
Contact #2
How can we contact you?
(Emails are kept confidential)
Who is your employer?
Student #1
Additional Info

Please choose a class from below for each child you wish to register. Choosing more than one class will register your child for more than one class a week. It is not your first and second choice. If the class you choose is full, you will be placed on a wait list. This will be indicated in your email. If you are placed on a Wait List please call our office 516-378-8467 and we can walk you through some other options. Your card will not be charged until you are enrolled in a class.

Enroll in Classes
Select Class *
Required Policies and Agreements
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Questions or Concerns
Payment Information
Credit Card