Valley Isle Aquatics Registration Form

Session: Private Lessons~Your Pool

Session Location:  Will be determined after confirmation from instructor.
Session Dates:  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. 
*Adults are required to enroll in two (2) 30-minute back-to-back classes on each date.

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

Note: Items marked * are required fields

Personal Details

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

  2. Kihei UpCountry Central

  3. Monday Tuesday Wednesday Thursday Friday Saturday   Sunday
Address Details
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.  

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
10:15
11:15
12:15
1:15
2:15
3:15
3:15-3:45
3:45-4:15
Pre-School Red
Pre-School Red-Orange
Pre-School Orange
Red
Red-Orange
Orange
Orange-Yellow
Yellow
Yellow-Green
Green
Middle School
Adult
Parent-Infant
Parent-Toddler
WSI Class
             

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.