The Aquatic Academy
Registration Form
           
Name:   Phone Number:  
           
e-Mail:   Cell Number:  
           
Address:   Zip:  
           
Referred By:   Please call for private lessons. 281-782-5898
      $45 per Session. Invoice sent once confirmed in class.
           
Student 1          
Name: Age:
New to Swimming?
 Yes
Session:   Time
           
Student 2          
Name: Age:
New to Swimming?
 Yes
Session:   Time
           
Student 3          
Name: Age:
New to Swimming?
 Yes
Session:   Time
           
Student 4          
Name: Age:
New to Swimming?
 Yes
Session:   Time
           
       
The Aquatic Academy: 1103 Barkly Court; Pearland 77581 Website by Hooks Software © 2008