Valley Isle Aquatics Registration Form

Professional Courses Registration Form

Course Location:  Please see the specific course's page for details.
Course Dates: Please see the specific course's page for details
.
Course Cost: Detailed per course.

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
Address Details
PayPal Details
  1. *Your PayPal Account Name is essential for us to match the registration form and payment.

Please check the box for the 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 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
             
Lifeguard Training
             
Lifeguard Training Challenge Course
             
Challenge Course
             

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.