Name *

First Name

Last Name

Phone

(###)

###

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What services are you interested in?

Private Lessons

Group Lessons

Baby & Me Group Lessons

Adult or Adaptive lessons

Aqua Fit Classes

Other

Preferred Start Date

MM

DD

YYYY

Opt-in/ Opt-out of Text Messages

YES, I agree to receive text messages from SwimRise Aquatics at the phone number the number 904-203-4175. Message frequency varies and may include class schedule reminders, swim lesson cost and service information and info for rescheduling appointments or promotional offers for lessons. Message and data rates may apply. Opt out at any time by replying STOP. For assistance reply HELP or contact support at 904-203-4175.

No, I do not want to receive text messages from SwimRise Aquatics.

Privacy Policy

The Privacy Policy link is included on this page with details on how we handle your information. We will never share or sell your opt-in information.

Yes, I have viewed and read the privacy policy.

No, I have not read the privacy policy.