Valley Isle Aquatics Payment Form

Choose the Name of the Session (or Course) below,
which matches the Title
of the Registration Form
and then make your payment.

Payment Method: Pay Pal
*You do NOT need a PayPal account!
There are NO refunds.

All payments and class registrations MUST go through our website;
if not, they are NOT valid classes; and Valley Isle Aquatics may NOT be held liable.

Skwim Fins

Cost: $18.00/pair + $3.00 shipping

Surface Water Sports has been kind enough to give us the Skwim fins at a reduced cost; they are usually $22.00 AND they are paying half the shipping cost.
We are not marking them up; you are getting them at our cost.
We must do this as a Donation or we will need to charge tax & fees.

Name & Size (Color)


 
Private Lessons~Your Pool

Session Fee: Pleasecontact us for exact pricing (travel/gas fee may apply).
Please do NOT pay without confirmation.

General Cost: $Negociated/30 minute class.

Participant's Name


 
UpCountry Thursday

Session: Upcountry New Year 2012 Thursdays
Session Dates (9): 1/12, 1/19, 1/26, 2/2, 2/9, 2/16, 2/23, 3/1, 3/8
Session Cost: $145.62

Student's Name


 
UpCountry Saturday

Session: UpCountry New Year 2012 Saturdays
Session Dates (8): 1/14, 1/21, 1/28, 2/4, 2/11, 2/18, 2/25, 3/3
Session Cost: $129.05

Student's Name


 
Beach Lessons

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.

Student's Name


 
Adult Lessons

Session Fee: Please enter the amount you were quoted into the "Donation Amount" box
on the PayPal page.  Please do NOT pay without confirmation.

General Cost: $16.39/30 minute class; must enroll in two back-to-back classes per date.

Participant's Name


 
Specialized Lessons

Session Fee: Please enter the amount you were quoted into the "Donation Amount" box
on the PayPal page.  Please do NOT pay without confirmation.

General Cost: $16.39/30 minute class.

Participant's Name


 
Central Friday

Session: Central 2012 Fridays
Session Dates: TBA
Session Cost: TBA

Student's Name

 
Central Saturday

Session: Central 2012 Saturdays
Session Dates: TBA
Session Cost: TBA

Student's Name


 
Kihei Wednesday

Session: Kihei New Year 2012 Wednesdays
Session Dates (9): 1/11, 1/18, 1/25, 2/1, 2/8, 2/15, 2/22, 2/29, 3/7
Session Cost: $145.62
Kihei Classes have been cancelled by the County; when we requested to move them to Central, the County said NO!

Student's Name


 

 

Kihei Sunday

Session: Kihei New Year 2012 Sundays
Session Dates (8): 1/15, 1/22, 1/29, 2/5, 2/12, 2/19, 2/26, 3/4
Session Cost: $129.05

Kihei Classes have been cancelled by the County; when we requested to move them to Central, the County said NO!

Student's Name


Child Development Center

Session: Child Development Center
Session Dates (TBA): TBA
Session Cost: $TBA

Student's Name


 
Water Safety Instructor (WSI)

Session: Water Safety Instructor (WSI)~Full Course
Session Dates: See Specific Page for Details
Session Cost: $285.00

Student's Name


 
Water Safety Instructor (WSI)

Session: Water Safety Instructor (WSI)~BLENDED Learning
Session Dates: See Specific Page for Details
Session Cost: $145.00

Student's Name


 
Fundamentals of Instrcutor Training (FIT)

Session: Fundamentals of Instructor Training (FIT)
Session Dates: See Specific Page for Details
Session Cost: $55.00

Student's Name


 
Fundamentals of Instrcutor Training (FIT)

Session: Fundamentals of Instructor Training (FIT)~VIRTUAL Course
Session Dates: See Specific Page for Details
Session Cost: $55.00

Student's Name


 
Lifeguard Training

Session: Lifeguard Training
Session Dates: We are currently NOT teaching this course
Session Cost: TBA

Student's Name


 
Challenge Course I

Session: Challenge Course I (includes CPR, O2, & AED ONLY)
Session Dates: SWe are currently NOTteaching this course
Session Cost: TBA

Student's Name


 
Lifeguard Training Challenge Course II

Session: Lifeguard Training Challenge Course II (includes Lifeguard Training & First Aid ONLY)
Session Dates: We are currently NOT teaching this course
Session Cost: TBA

Student's Name