Join Waitlist | Life Aquatics LLC

2027 WAITLIST INTAKE FORM

Due to extremely high client retention, and already very long waitlist, I am not taking any more new clients in 2026.

I hold seasonal Survival Sessions that are 7-8 weeks long over Spring, Summer and Fall. They are scheduled around Fayette County School breaks. I do not teach between Thanksgiving & New Years as most people are too busy with holiday events and travel.

Spring Session is February & March
Summer Session is June & July
Fall Session is End of September until Mid November

Parent's Name

Child's Name

Child's Birthday

Month

Day

Year

Email

Phone

Any health concerns since birth (ex: eyes, ears, muscular, allergies)

If "other" please describe

Any developmental delays or behavioral differences since birth?)

If "other" please describe

Any previous swim experience?

Will your child put their head underwater by themselves?

Would you describe your child as..

Can the student's parents swim?

Have you ever experienced water trauma, drowning or near drowning in your family?

Anything else you would like us to know?

By checking this, you are verifying that all the medical information above is accurate, and nothing has been left out. Swimming involves the whole body. I need to know about anything that could affect them in the pool. By leaving out information, you may be unintentionally putting your child in danger by not giving me all the information I need to keep them safe.

By checking this box, you are agreeing to be contacted via text to schedule an intake call to discuss lessons. I am a mother of two young children, small business owner, and I am usually teaching anywhere from 10-30 students to swim at a time. You are busy working parents and caregivers. If we are taking time out of lives to do a call, please have read through my website, and ensure session dates work for your family, as to not waste either of our time.