Creating confident swimmers since 1999!

Parent & Me Sign Up – Water Otter Pool

Parent and Me Group Lessons

Schedule Request Form


  • Before beginning this form please view the Session Dates page and choose your preferred session(s).
    (Be sure to scroll down to the Parent & Me section of the page.)
  • Please be sure to select times that your child is most awake and alert.
  • It is recommended that lessons not occur too close to nap times or meal times.
  • Please remember to account for travel and transition time from other activities.
  • The schedule fluctuates daily so please submit this form as soon as possible to increase the likelihood of securing your desired time slot.
  • Submitting your form does not guarantee lesson days or times.
  • When you are finished completing this form, please click the “Submit Schedule Request Form” button at the bottom of this page.
  • After your form has been submitted, Jennifer will contact you with the most current schedule availability.

Child Information Child / Sibling Information
  Name     Name  
  Age     Age  

Parent Information
Parent's Name
Cell Phone
Email Address
Reach me by (check all that apply) CellTextEmail
I would like lessons during session(s) #1#2#3All
I would like lessons on (choose one) TuesdaysThursdaysEither day works
I was referred by YelpInternet SearchOnline Mommy GroupFriend*
*The name of the friend I was referred by is
My child has had swim lessons in the past NoYes*
*The name of the swim program my child attended was

*Session date information can be found on the "Session Dates" page located under the "Pricing, Dates & Info" menu tab on the website

5 Week Session: One 40 minute lesson once a week (5 consecutive weeks)
Package Price of $120 (5 lessons total)

My child is available for class at this time:


This season the available times for Parent & Me classes are 9:30 am, 10:30 am, and 11:30 am

Please use the space provided below for additional comments or questions:

Policies (read carefully)

I understand that: (please read and initial this section below)

...there are no refunds for missed classes for any reason (NO exceptions).

...payment in FULL (for all lessons scheduled) is due upon registration.

...openings on the swim schedule are subject to availability and fluctuate daily.

...after my Schedule Request Form has been received, I will be provided with current available lesson dates and times as well as information about how to register, pay, and secure my desired lesson times.

I hereby agree and accept all Policies outlined above.


If after clicking the submit button an error message occurs please click the submit button a second time.