Wendy 4 Swim...teaching lessons in water safety for over 50 years!
2025 HIGH DESERT SWIM PROGRAM REGISTRATION
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 If you would like to enroll yourself or your child in the 2025 HIGH DESERT SWIM PROGRAM, please fill out and submit the registration form below. Serious enrollment submissions only, please.  I may attemp to schedule your child with others of the same age and ability. Once I do that and start notifying parents, it is very difficult to have to re-group if you change your mind.
 
 
PRIVATE AND SEMI-PRIVATE LESSONS CAN BE SCHEDULED AT ANY MUTUALLY AGREEABLE AND AVAILABLE TIMES AND DAYS. BE SURE TO STATE WHAT WORKS FOR YOU IN YOUR REGISTRATION FORM. WE CAN FINE-TUNE ON A INDIVIDUAL BASIS. 
 
 
 
 PLEASE NOTE THAT PAYMENT MUST BE MADE BY ZELLE TO: WENDY GREULACH (831) 236-6123 , or arrangements made to pay by CASH on the first day of classes. SEE HOME PAGE FOR FEE DETAILS.  See bottom of registration form for payment details.  Remember that enrollment in my classes will be for a series of EIGHT (8) thirty minute sessions, to be arranged at times and days which are agreed upon based on our mutual convenience and availability. If there is enough interest, I could add another session following the first 8 lessons (TBD).  Total cost must be paid in advance to reserve your spot. More information on these classes may be obtained by visiting the HOME PAGE. 
 
 
Please fill out ALL segments and click on "submit" at the bottom of the page. 
 
 
ALL REGISTRATION IS ON A FIRST COME FIRST SERVED BASIS. Do NOT send payment until your class has been confirmed! Be sure to check the boxes for ALL class times which your child could attend. Also, check the  "I need to make other payment arrangements" at the botom if you will be paying cash.    Your child will not be considered enrolled until payment is received or arrangements have been made.   NO PAYMENT NEEDED AT THIS TIME. PLEASE SUBMIT YOUR REGISTRTION FORM NOW, AS CLASSES WILL FORM ON A FIRST COME-FIRST SERVE BASIS. You will be contacted  to verify your interest and confirm schedules.
 

 

REGISTRATION FORM:

Parent's Name (Last Name, First Name)
 * required

Home Phone #
 * required

Cell Phone #
 * required

E-Mail
 * required

Child #1 Name
 * required

Child #1 Age and Birthdate
 * required

Child #2 Name

Child #2 Age and Birthdate

Child #3 Name

Child #3 Age and Birthdate

  

Has Your Child Had Any Other Swim Lessons?  When?   Where?  What was the Outcome?

 

 
   

What is your child's skill level at this time?

Additional Comments on Your Child's Ability

 


I am leaving the time and class ages open until I hear from all interested parents. Class times will be arranged based on ages, abilities, and time needs.

Please select ALL times that will work for you. Then, if you have a preference, say so in BIG BOX TO THE RIGHT

. 

BE SURE TO STATE THE DAYS OF THE WEEK THAT YOU WOULD BE ABLE TO ATTEND!

 

 

 

The proposed classes will be scheduled between 11-ish and 3-ish. They could be slightly earlier, or run slightly later, DEPENDING ON ENROLLMENT.

I WILL LET YOU KNOW AS SOON THE CLASS TIMES HAVE BEEN DETERMINED. 
----------11:00 a.m.
______11:30
______12:00 noon
______12:30
______1:00 p.m.
______1:30
_______2:00
_______2:30
_______3:00
_______3:30
_____OTHER

BE SURE TO STATE THE DAYS OF THE WEEK THAT YOUR CHILD COULD ATTEND CLASSES

I HAVE or have access to a heated pool on a regular basis
I DO NOT have or have access to a pool
I have read and agree to the above terms and conditions
I agree to send payment prior to the start of my child's first class
I need to make other payment arrangements.

Today's Date
(mm/dd/yyyy) 
 * required

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