Registration


Welcome to the Splash Swim School Water Wise Program!

*   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)
Additional Info

Please Note: Group lessons - If you register for 2 classes/week you will be given a $5 discount per month when the fees are posted to your credit card. Private or Semi-Private lessons - Fill out this form but DO NOT "select a class". Instead, call the school at 970-631-8227 to arrange your class.

Enroll in Classes
Select Class
Required Policies
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Questions or Concerns
Payment Information
Account Information
Please fill out CREDIT CARD Payment Method
Credit Card
eCheck/Bank Draft
(Your name on your bank statement)
(9-digit number)
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