Registration


Long Island Swim School

*   denotes required fields

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
(format=mm/dd/yyyy)
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
I Agree to All of the Above
Questions or Concerns
Payment Information
Credit Card