New Swimmer Registration

First Name (required)
Last Name (required)
Email (required)
Phone (required)
Address (required)
City (required)
State (required)StateAlabamaAlaskaArizonaArkansasCaliforniaColoradoConnecticutDelawareWashington DCFloridaGeorgiaHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaOhioOklahomaOregonPennsylvaniaRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahVermontVirginiaWashingtonWest VirginiaWisconsinWyoming
Zip Code (required)
Student First Name (required)
Student Last Name (required)
Student Date of Birth (required)
Preferred Location (required)
Preferred Location*EmlerSwim@HomeAllenAustin - Anderson MillAustin - Oak HillAustin - WestlakeCedar ParkDallas - Preston ForestDallas - Walnut HillFirewheelFlower MoundFort WorthFrisco - EastFrisco - WestHouston - Clear LakeHouston - MeyerlandHouston - Vintage ParkKansas City - LeawoodKansas City - WestwoodKatyPortland - Beaverton Washington SquarePlanoRound RockSan Antonio - Alamo RanchSan Antonio - HuebnerSan Antonio - SchertzSan Antonio - Stone OakSouthlakeSpring-KleinTualatin - Martinazzi SquareThe Woodlands

Preferred days/times to swim:
Best time to contact you:
Promo Code:

Can the student swim independently without the use of a flotation device?
YesNo

Please describe student's swim experience:

Additional Swimmers:

*Required field

Click the button below and we'll begin working on finding the right fit for your student! We'll contact you within two business hours to finalize your registration. We care about your privacy, so your information is kept confidential and will not be sold or released to any third party.

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