Lifesaver Swim Camp

Hi, welcome to Swim Camp! We are excited to meet you 🙂 Swimming has always been a major part of our lives and we cannot wait to make it a part of yours! Please fill out this form for each individual swimmer. *Private Parties please scroll to the bottom. Payment through Venmo is preferred, but other options are available as well. Payment is due within two days of completing this survey to secure your spot. Your instructor will reach out to you with Venmo information. Thank you!! See you soon!

Parent Name

First Last

Phone Number

Email

Swimmer's Name

First Last

Swimmer's Age

Please enter a number from 0 to 123.

Week(Required)

June 9 - June 13

June 23 - June 27

June 29 - July 3

July 7 - July 11

July 14 - July 18

Weekly @ 4:30

Time

Hours

:

Minutes

AM/PM

Would you like to use your own pool?

Yes

No

What is your swimmers familiarity with the water?

Swimmer's Personality (Any information you feel necessary for the teacher to know)

Private Party (If you are interested in having a lifeguard come to a private party please include address, dates, and times below as well as a description of the party with an approximate number of guests)

Yes

No

Address of Party(Required)

Street Address City State / Province / Region ZIP / Postal Code

Date of Party(Required)

MM slash DD slash YYYY

Time of Party(Required)

Hours

:

Minutes

AM/PM

Approximate Number of Guests(Required)

Please enter a number from 0 to 500.

Description of Party(Required)

Email

This field is for validation purposes and should be left unchanged.