Registration


Thank you for your interest in lessons at Aqua Journeys Swim School. The gift of swimming is one that your child will benefit from for life. Please fill out the online registration form to get started!

*   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
Portal Access (your email is your login)
(Emails are kept confidential)
Who is your employer?
Click to Enter an International Number
Contact #2
How can we contact you?
Click to Enter an International Number
Click to Enter an International Number
(Emails are kept confidential)
Who is your employer?
Click to Enter an International Number
Student #1
(format=mm/dd/yyyy)
Additional Info
Required Policies and Agreements
I Agree to All of the Above
Questions or Concerns
Payment Information
Credit Card