Hawaii Swimming Registration Form

Session: Private Lessons~Your Pool

Session Location:  Your pool. See the Private Lessons Page for details.
Session Dates & Times:  Dates are determined by the Instructor and the Student.

Session Cost:  Total Cost is dependent upon number of lessons; location; travel time; and additional expenses.

Class Length: Keiki ages 3-12 years old = 30 minutes; teens ages 13-17 years old  = 30-45 minutes.

Adults: 30-60-minute class; pool must have a length of 20m minimally.

*All payments and class registrations MUST go through our website; if not, they are NOT valid classes.

**Class times and levels are listed on the bottom of this form.
Personal Details

  1. *Please do provide your email as this is our only way of sending you a confirmation email.

Gender
  1.    Female Male
Address Details
  1. Text Message Yes No
Payment Details
Please complete the following items if using a company account, a PayPal account, or an account that does not match the child/parent name (maybe grandma or aunty is paying for the lessons) on registration form. This will assist us in matching your payment with your registration form. You do NOT need a PayPal account!
  1.                     *Important if using a different account name than the registration name.

Please check the box for the location and level class you are interested in registering.
Please do NOT submit a blank registration form; this only delays the process and does NOT guarantee your child a space in the class.
Your child will NOT be enrolled in a class until your payment and completed registration form is received AND you receive a confirmation email from us.

Location
  1. Waikoloa Village Waikoloa Beach Waimea South Kohala Kailua-Kona Kona Palisades Hualalai Kealakehe Holualoa Hotel/Resort Vacation Condo
Level: Please click the appropriate level for your swimmer:
Pre-school Red
Pre-school Red-Orange
Red
Red-Orange
Orange
Orange-Yellow
Yellow

I give my consent/permission to Hawaii Swimming to use my child's picture/image.  Full Policy
I do NOT give my consent/permission to Hawaii Swimming to use my child's picture/image.

Submitting this registration form does NOT guarantee you a spot in the class.
There are NO REFUNDS.
Read the full Refund and Cancellation Policy.
By submitting this registration form, you agree with the terms listed below.

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*Please remember we charge a very nominal fee for our lessons; and each session's budget is determined by the number of enrollees. We hold your swimmer's place in class for each date of the session and cannot fill that spot for just one class date, therefore we cannot issue refunds for missed classes; we cannot carry over balances from one session to another session; and participants cannot pick and choose the dates they wish to attend. Please review the Make-up Policy for further details.
*All payments and class registrations MUST go through our website; if not, they are NOT valid classes; and Hawaii Swimming may NOT be held liable.