One with the Water, a 501(c)(3) non-profit

Online Registration


Step 1 of 3

One with the Water®
Registration Image

  • Biographical
  • Waiver
  • Payment
  • Receipt

Instructions: To become a One with the Water® member, please complete this registration form. Services provided at all locations and pricing will be listed on the Shopping Cart page. Your card will not be charged after you submit your information; it will be charged after we have scheduled your lessons.

Please input the swimmer's information. Swim session dates, times, goals and type of class will be discussed with our Scheduling Coordinator after you have completed the registration process. On the billing page, you will be asked for your payment information. We accept Visa, MasterCard, American Express, and Discover credit cards.

Your card will not be charged after you submit your information; it will be charged after we have scheduled your lessons. See our website for current public pool schedules. 

SWIMMER INFORMATION:

* Starred fields are required



Phones



Address



Emergency Contact

(Bee stings, foods, medicine, etc.)

(None, List Allergies, Required Accommodations, etc.)

(Google, Yelp, Friend, Doctor, etc.)

My child meets the requirements for special accommodations.

(https://onewiththewater.org/santa-monica/special-needs-faq/#define)

CANCELLATION POLICY - Please make every effort to attend all lessons. Pool space, insurance & instructors are booked 1 month in advance. Refunds are not issued for missed lessons. We can convert missed lessons into a tax-deductible donation. *


Problem with this registration?

Powered by ClubAssistant.com   ©2003-2018
Page execution time: 41 ms