Hawaii Swimming Registration Form

Session: Spring 2017
Tuesday or Thursday or Sunday

Days and Dates:  
Tuesday: 4/4, 11, 18, 25, 5/2, 9, 16
Thursday: 4/6, 13, 20, 27, 5/4, 11, 18
Sunday: 4/2, 9, 4/16 (holiday), 4/23, 30, 5/7, 5/14 (holiday), 5/21

Number of Lessons
Tuesday: 7
Thursday: 7
Sunday:
6
*30 minute classes

Session Cost via DONATION:  
Tuesday: $122.89
Thursday: $122.89
Sunday: $105.58

*Please complete all registrations on our full site.

**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 according to your account information which you are using to make your payment. 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, time, and level class you are registering.
We are only offering classes, times, and levels that are listed.
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.

Facility
  1. Waikoloa Village
    Choose which level and time you'd like to attend class.
Winter Session
Level
Sunday
Tuesday
Thursday
Parent-Child  
1:00-1:30 pm
3:30-4:00 pm
3:30-4:00 pm
Red  
1:30-2:00 pm
4:00-4:30 pm
4:00-4:30 pm
Red-Orange  
2:00-2:30 pm
4:30-5:00 pm
4:30-5:00 pm
Orange  
2:30-3:00 pm
5:00-5:30 pm
5:00-5:30 pm
Orange-Yellow  
3:00-3:30 pm
5:30-6:00 pm
5:30-6:00 pm
Yellow  
3:30-4:00 pm
5:30-6:00 pm
5:30-6:00 pm
Adults  
4:30-6:00 pm
6:00-6:30 pm
6:00-6:30 pm


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.
Please be aware that classes with fewer then four (4) students will be CANCELLED!
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.