Registration – Giggles and Goggles Swim Instruction

Registration

Choose The Instructor

Sandy Kennedy

Abbi Curry

Booking with Sandy Kennedy

Swimmer Name

Age

Date of Birth

Gender

Any Disabilities

Swimming Level

Swimming Goals

Lesson Duration & Total Lessons

Pool Type

Address

Address

Referred By

Date and Time

Date

Time

Additional Information

Guardian Name

Guardian Phone Number

Guardian Email Address

Booking with Abbi Curry

Swimmer Name

Age

Date of Birth

Gender

Any Disabilities

Swimming Level

Swimming Goals

Lesson Duration & Total Lessons

Pool Type

Address

Address

Referred By

Date and Time

Date

Time

Additional Information

Guardian Name

Guardian Phone Number

Guardian Email Address