Frank's Aquatic Specialist

Registration Information

Xpress Lane:

If you have an Xpress Lane ID, enter it here to avoid filling out the entire profile again. If you do not, you will receive one after registering.

Xpress Lane ID:

Student/Job Profile:

Family Last Name:

Street Address:

Parent 1:

City:

Parent 2:

State:

Student 1:

Zip:

Student 2:

Home Phone:

Student 3:

Emergency Phone:

Parking:

Yes

Own Pool:

Yes

Other Pool:

Pets:

Yes

Pool Temperature:

List Pets:

Safety Considerations:

Program Selection:

Staff Selection:

Instructor's Name:

Booking quotes and confirmations will be made by phone within two days of submission and agreeing to terms

Custom Scheduling:

Explain special considerations affecting participation or instruction:

List any equipment needed: