Start your swim journey today!Fill out some info and we will be in touch shortly! We can't wait to hear from you! Parent/Guardian Name * First Name Last Name Child's Name * First Name Last Name Email * Phone * (###) ### #### How old is your child? * What is your pool location? Please write full address. * Is your pool heated? * Yes No Which days' work best? * Monday Tuesday Wednesday Thursday Friday Saturday Sunday Which times work best for you? * Early Mornings (7am-10am) Late Mornings (10am-12pm) Early Afternoon (12pm-2pm) Late Afternoon (3pm-4pm) Early Evenings (5pm-6pm) Late Evenings (6pm-7pm) Child's Swim Experience * My child has no swim experience. My child has some swim experience. My child is a skilled swimmer. Is your child in any swimming flotation devices? * Yes No What Package are you interested in? * 6 Lessons 12 Lessons 16 Lessons How did you hear about us? * Social Media Referral Google School/Daycare Is there any additional information about the swimmer we should know? Thank you for submitting the Potential Client Questionnaire. In the meantime, please fill out the Waiver of Liability and Cancellation Policy to prepare for our first session.Waiver of LiabilityAlso please visit our resources page here to find out some of my best swim tips and tricks! We will be in touch within 24-48 hours!Love your Neighborhood Mermaid team!