Valley Isle Aquatics Registration Form

1. Student's First Name*
2. Student's Last Name*
3. Both Parents'/Guardians' First Name*
4. Both Parents'/Guardians' Last Name*
5. Email Address
   *
   
*Please do provide your email as this is our only way of sending you a confirmation email.
6. Student's Age*
   
7. Student's Birthdate*
8. Student's School & Dismissal Time*

1. Gender*    Female Male

1. House Number & Street*
2. Town/City*
3. State*
4. Zipcode*
5. Home Phone*
6. Cell Phone*
7. Work Phone*

1. Location Sugar Beach Baby Beach Mai Puno Oehau Beach

Ocean & Beach Safety Class: for our less experienced swimmers. We will spend time learning about being safe at the beach and in the ocean as well as how to play safely in and around the ocean (i.e. wave jumping; porpoise floating, etc.). To participate in this class students need to be able to get their face wet, feel comfortable without their parent or guardian in the water with them, and can communicate to the instructor. This is NOT meant as a substitute to learning how to swim!

Ocean Skill Transitions Class: will be in conjunction with our learn-to-swim (in the pool) weekend lessons. We will spend one lesson at the beach/ocean during the session transitioning some of our skills from the pool to the ocean; learning safety in and around the ocean, and other related topics. This class is for all skill levels and students who are currently or previously enrolled in our program.

Play Groups: are a great way to introduce children to the beach and ocean along with socialization skills. These groups are designed for our Parent-Child "teams" and our under 3 years old keiki. We will continue researching and developing this program to bring you the most current curriculum and activities.

Expanding the Wave Class: is for students who have met the skill level requirements of Level Yellow-Green AND have the instructor's authorization. Students who do not meet these requirements will not be allowed to participate in this class.

1. PayPal or Payment Account Name*
                    *Important if using a different account name than the registration name.
2. Email Address (PayPal or Payment)*
3. Company Name (if paying via company account)*
 

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