REGISTER - 2025 — Swimming with Jordan

Street Address

City, State, Zip

Phone Number

ISR & Traditional Stroke Lessons

Your Custom Text Here

ISR REGISTRATION 2025

If you are ready to register for ISR 2025, please complete the form below. This sends an email to Jordan which is time-stamped. Jordan will reach out to each registrant individually by text/call/email to schedule your child in order these registrations are received. This will take several days, so please be patient.

PARENT NAME

First Name

Last Name

PHONE NUMBER

(###)

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PHONE NUMBER (Enter Again)

(###)

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EMAIL ADDRESS

CONFIRM EMAIL ADDRESS

# of children registering, NEW or REFRESHER students

ex: 2 students, 1 NEW, 1 REFRESHER 6-weeks

Time Preference