Registration Form 2018

Child/Children Information:

*First & Last Name:

   First & Last Name:

*Previous Swimming Lessons: Yes No   
*Potty Trained: Yes No
All children that are not potty trained are required to wear a reusable swim diaper in the pool.  Please do not use a disposable swim diaper.

*Medical Information:

(Please provide any important information regarding your child's health
before your first lesson.)

Parents Information:
*Parent #1: *Parent #2:
*Address: *City:
*State: *Zip Code:
*Home Phone: *Mother (Cell):
*Father (Cell): *Email Address:

*Location Requested:
Palm Beach Gardens (Monday - Thursday)
North Palm Beach (Monday - Saturday)
Lake Worth / Lantana (Monday - Saturday)
Wellington/ Royal Palm Beach (Monday - Saturday)  
Your Home Pool (Jupiter or Palm Beach Gardens Only)  

*Please Indicate Time of Day that is best for your Child:

How did you hear about Kids 1st Swim School:
Friend  Name of friend
School Flyer
Postcard In Mail
Internet Search

Magazine Ad
Community Event
Macaroni Kid
Car Advertisement

Registration & Tuition:  Annual Registration is $35 per student, $45 per family.  Monthly tuition is due on the 1st of the month.  Payment is collected in advance of lessons conducted.

Missed Lessons/Make Up Policy:  In order to be eligible for a make up lesson, we need advance notice that you will not be attending your regularly scheduled lesson.  Missed lessons will be made up at the instructor's discretion depending on time available.  If you do not show up at your reserved lesson time, that lesson is not eligible for a make up lesson.

Weather:  WE WILL CALL YOU IMMEDIATELY if we determine that lessons will be cancelled due to the weather.  If you call the office to inquire about any cancellations and do not receive an answer, that indicates that we are in the pool conducting lessons.  Any lessons cancelled due to weather will be rescheduled by your instructor.

* By checking this box I agree to the following Policy, Terms and

         Please see our Water Safety Tips for more information.

We accept the following Forms of Payment:

Visa, Master Card, Discover and American Express

Kids 1st Swim School will call to set up the lessons once the registration form has been filled out and submitted

*Security Code:
   Type THESE NUMBERS exactly as they appear: 

* Required


M/C, Visa, and American Express Accepted