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For your convenience, we have included the SouthWest Aquatics' Registration Form below

After speaking to a representative and scheduling with one of our instructors, this form must be completed in order to participate in SouthWest Aquatics' Swim Programs and Activities. Completing this paperwork ahead of time will ease transition on your first day of swimming at SouthWest Aquatics.

You may fill out and send the form in below, or fill it out on your first day at SouthWest Aquatics.

YOU MAY FILL OUT AND SENT THE FORM IN BELOW, OR FILL IT OUT ON YOUR FIRST DAY AT SOUTHWEST AQUATICS!

Registration Form
Father's Name
Father's Occupation
Mother's Name
Mother's Occupation
Address Line 1
Address Line 2
City
State
Zip Code
Home Phone () -
Mom's Cell () -
Dad's Cell () -
E-mail Address
Student's First Name
Student's Last Name
Student's Date of Birth
Student's Gender (M/F)
Primary Physician's Name
How did you hear about SouthWest Aquatics?

List any and all physicians, therapists, or other medical personnel this child has been seen by,

and the purpose for the visit excluding well check-ups as well as any physical exceptionalities

Have you scheduled already (Y or N)? If Yes, what instructor and time?
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ADDRESS: 205 Windermere Road I Winter Garden, FL 34787 ----- Phone: 407-905-0999 ----- Fax: 407-905-5268