Quick Form

STEP 1 | Primary Contact Information

Your Name*

Cell Phone Number*

Email*

City of Residence

STEP 2 | Student Details

Student Name(s)*

Student Age(s)*

Has this student(s) had swim lessons in the past?
YesNo

Does this student(s) have specific needs?* (We kindly ask for this information to best match you with the most appropriate teacher.)
YesNo

If applicable, please select the student's specific need(s) and a Water Otter's Team Member will contact you in order to get more details and discuss any specific concerns you may have.
Sensitive to touch or soundReceived or is receiving speech or other types of therapiesExhibits ADD/ADHD characteristicsExhibits Autistic characteristicsHas a school-issued IEPUses ear plugs while swimmingPrior water trauma or negative swim lesson experienceOther

STEP 3 | Location & Program Preferences

Pool Location Preference (select all that apply) Winnetka PoolNorth Hills PoolLake Balboa Pool

Program Preference
Private Lessons (ages 2.5 and older)Parent & Me Group Classes (ages 6 months - 2.5 years)

STEP 4 | Days, Time & Date Preferences

Which group of days do you prefer?
Please note, NOT all day combinations are available at each pool location.
Mondays, Wednesdays & Fridays (3 days a week)Tuesdays & Thursdays (2 days a week)Tuesdays, Wednesdays, & Thursdays (3 days a week)Saturdays (Group Parent & Me Classes only)

In the box below, please indicate the earliest and latest times that would work for you.
You may also indicate any scheduling issues or questions about scheduling you may have.*

Have you decided which Session(s) dates work best for you (each is 3 weeks long)?
#1 Early Spring (March 17 - April 4)#2 Spring (April 7 - April 25)#3 Spring (April 28 - May 16)#4 Spring (May 19 - June 6)#5 Late Spring (June 9 - June 27)#6 Summer (June 30 - July 18)#7 Summer (July 21 - Aug 8)#8 Summer (Aug 11 - Aug 29)#9 Late Summer (Sept 1 - Sept 19)Undecided

STEP 5 | Additional Comments or Questions

Would you like to add any additional notes or questions?
If you have any specific goals for your student(s), or additional information about your student(s) that you think would be helpful for us to know (such as fears or concerns you or your student may have) please indicate those details here.

Just to let you know, our priority registration period is from February 1st - February 15th and applies to families who have already taken lessons with us in years past. Priority Registration automatically applies to returning families and therefore it is not necessary to wait to hear from us or receive an email to register for a class. After February 16th all families are invited to register for classes. Our available classes are on our website under the "Locations & Schedules" menu tab. Classes are live and can fill at any time so register as soon as you are ready to ensure the best selection of classes.

Almost done! Please click the "Submit Form" button. Our team is in the office Monday-Friday and will get back to you as soon as possible.