Valley Isle Aquatics Registration Form

Session: Beach Lessons

Session Location:  We will be trying Baby Beach in Sprecklesville; Baldwin Beach Cove; and a beach in Kihei to be determined.
Session Days: More than likely we will try Sundays first and see how it goes.
Session Times: Considering it is at the beach, 8:00-12:00 noon are best.
Session Dates:  Dates are not yet determined as we are still working out the logistics.

Session Cost:  Total Cost will be determined once we finalize the dates.

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

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
Location
  1. Kihei Baby Beach Baldwin Cove
Day of Week

  1. Monday Tuesday Wednesday Thursday Friday Saturday   Sunday
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.
  2.  

Please check the boxes according to which level, day of the week, time, number of lessons, and location you are interested.
Please do NOT submit a blank registration form, this only delays the process and does NOT guarantee your child a spot 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.

Levels & Times
8:00
9:00
10:00
11:00
       
Pre-School Red
   
Pre-School Red-Orange
   
Pre-School Orange
   
Red
     
Red-Orange
     
Orange
     
Orange-Yellow
     
Yellow
     
Yellow-Green
     
Green
     
Adult
     
Parent-Toddler
     

I give my consent/permission to Valley Isle Aquatics to use my child's picture/image.  Full Policy
I do NOT give my consent/permission to Valley Isle Aquatics 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.

Please wait to make your payment until you have confirmed everything with the instructor.

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