Take Me To The Water : Contact Us


	Pre-Registration

Early or Pre–Registration form

To register, either call our office or fill out the following form. You will only be registered upon confirmation of the swim time, day, and pool location over the phone. If enrolling during an existing semester, you will be pro-rated based on the amount of classes remaining. Please note the required fields (*).

When registering 14 days or more in advance of the start of your swim class, a $100 deposit either by credit card, check, or money order is needed. If after registering you choose to cancel before or up to three days after that initial class, you can still receive a full refund, minus the cost of the first class, upon notifying our office. (see Pool Policies for details).

1. ENTER GENERAL INFORMATION:

*Your Name:

*Your Email:

*Day Phone Number:

*Swimmer(s):
Name 1:	Age:	Skill Level:
Name 2:	Age:	Skill Level:
Name 2:	Age:	Skill Level:
We are: Currently in program Old Client New Client

2. ENTER CLASS INFORMATION:

Please Choose Semester(s): ( see Swim Dates for semester dates)

Fall Winter Spring Summer1 Summer2

Keep current Swim Class:

3. ENTER INFORMATION TO SECURE YOUR CLASS:

When registering 14 days or more in advance of the start of your swim class a $100 deposit either by credit card, check, or money order is needed. If after registering you choose to cancel before or up to three days after that initial class, you can still receive a full refund minus the first class upon notifying our office. (see Pool Policies for details)

I would like to reserve my swim class using:

Please call to get my credit card number
Use my existing credit card on file
I’m sending this form and a $100 check or money order mailed to: Take Me To The Water
212 East 49th St
New York, N.Y. 10017

4. ANY OTHER INFORMATION:

Contacted me via:

Email Phone

Comments/Suggestions:

* Required Fields OR: