This form is for NEW CLIENTS. (If we have taught at your pool previously, fill out this form for the new season.)
​After we receive your information we'll email a proposed date for the Home Pool Safety Assessment, the class schedule and teacher. If we're unable to accommodate your schedule requests we will get back to as soon as possible. 

Drowning is the #1 Cause of Death in Children Under 4. The majority of incidents happen in home swimming pools and bathtubs.
​Drowning is the #2 Cause of Death in Children 5-14.
For every child who dies, another 7 receive emergency department care.

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Learn More About the
Home Pool Safety Assessment