Skip to content
Search for:
ABOUT
PRIVATE LESSONS
ONLINE LESSONS
CONTACT
LOGIN
Waiting Form
isdine
2022-08-09T13:52:29-04:00
Waiting List Form
"
*
" indicates required fields
Email
*
Parent's first name
Last name
Where are you interested ?
Montreal region (Pointe-Claire)
Quebec City region
If you have a swimming pool, do you want to do home workouts during the summer?
Montreal region
Quebec City region
We don't have a swimming pool
Number of children
*
1
2
3
4
Age of the children
*
Under 18 months
18 to 36 months
3 years old
4 to 6 years old
7 to 10 years old
Have you ever taken the Swimforce (TM) initiation course which is a prerequisite for children from 0 to 18 months ?
*
Yes
No
Who referred you to our program ?
Are you doubly vaccinated against COVID-19 ? Note: All persons aged 12 and over who bring children to swimming lessons must be doubly vaccinated and must present their vaccination passport.
Yes
No
I have a medical condition that prevents me from being vaccinated
Address (if you have chosen summer course at home)
Postal Code
Phone
*
Has your child ever taken swimming lessons ?
*
Yes
No
Intro online with Swimforce(TM)
Why do you want to be part of our program ?
*
Additional information or experience about your children that you want to share with us
Close product quick view
×
Title
Page load link
Go to Top
