Cyan Swim Academy Pre-registration
Cyan Swim Academy will use your information inputs to plan for swim lessons pre-registration. Your inputs will NOT mandate payment. It will allow us to prioritize and plan for lessons schedule. The time slots will be reserved on first come first serve basis.
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Student's Name  *
Age *
Swimming level *
Please specify your swimming training background, and what you want to focus your training on. *
What type of swimming lesson are you interested in? *
What day and time period do you prefer to take swimming lessons? *
Please select your preferred time slots. You can select multiple slots to allow flexibility.
Required
Contact info: Child guardian name *
Contact info: Email address *
Contact info: phone number *
We will only use your phone for scheduling classes and emergency contact.
Please leave your comments and questions to us!
How did you hear of Cyan Swim? *
Required

Thanks for completing the form and showing interest in Cyan Swim!
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