Please complete the form below to be contacted about registration (one for each child).
After completing the form you will be contacted by a KIDS FIRST representative to complete registration.
Date of Birth (required)
Swim Experience (required) ---Choose OneBeginnerIntermediateAdvanced
Location Preference (required) ---Aston, PennsylvaniaBel Air, MarylandBowie, MarylandBroomall, PennsylvaniaChantilly, VirginiaCharleston, South CarolinaCherry Hill, New JerseyCockeysville, MarylandColumbia East, MarylandCommack, New YorkDeptford, New JerseyDundalk, MarylandEast Norriton, PennsylvaniaElkton, MarylandExton, PennsylvaniaFalls Church, VirginiaFinksburg, MarylandFrederick, MarylandFredericksburg, VirginiaGermantown, MarylandHagerstown, MarylandHockessin, DelawareJenkintown, PennsylvaniaLaurel, MarylandLimerick, PennsylvaniaManassas, VirginiaMidlothian, VirginiaNorth Bethesda, MarylandPerry Hall, MarylandRockville, MarylandSeverna Park, MarylandSpringfield, VirginiaSterling, VirginiaTurnersville, New JerseyWaldorf, MarylandWarminster, PAWinchester, Virginia
Program (required) ---Choose OneParent & Child Lessons (2 months - 3 years)Child Swim Lesson (3 years - 12 years)Adult Swim Lessons (18 years +)Adult Fitness (available at select locations)
Day Preference (optional) MondayTuesdayWednesdayThursdayFridaySaturdaySunday
Time Preference (optional) MorningAfternoonEvening
Parent Name - First & Last (required)
Primary Phone (required)
Email (required)
How Did You Hear About Us (required) ---Friend/RelativeFacebook or other Social MediaGoogle SearchShopping CenterCommunity Fair/EventDirectory/Print Advertisement
Additional Message (optional)
