Penguin Swim School

Student Official Registration Form

Welcome to Penguin Swim School! Please complete this Student Official Registration Form to enrol in our swimming lessons. Providing accurate details ensures a smooth registration process and helps us tailor our lessons to your needs.

Student Information

Student's First Name *

Student's Last Name *

Email *

Password *

Password must be at least 8 characters long

Confirm Password *

Phone *

Student's Birthday *

Gender

Parent Information

First Name

Last Name

Relationship

Same as primary email

Parent Email

Same as primary number

Parent Phone

Lesson Preferences

Preferred Type of Lesson *

Preferred Day *

Preferred Start Time *

Location *

Medical Information

Does the student have any medical conditions or special needs? *

YesNo

Additional Notes

Any special requests or concerns

I agree to the terms and conditions and privacy policy *