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.
Child 1
Child 2
Child 3
Child 4
Child 5
Child 6
1st Child's Name - First & Last (required)
Month (required) —Please choose an option—JanuaryFebruaryMarchAprilMayJuneJulyAugustSeptemberOctoberNovembersDecember
Date (required) —Please choose an option—12345678910111213141516171819202122232425262728293031
Year (required) —Please choose an option—202320222021202020192018201720162015201420132012201120102009200820072006200520042003200220012000199919981997199619951994199319921991199019891988198719861985198419831982198119801979197819771976197519741973197219711970196919681967196619651964196319621961196019591958195719561955195419531952195119501949194819471946194519441943194219411940193919381937193619351934193319321931193019291928192719261925192419231922192119201919191819171916191519141913191219111910190919081907190619051904190319021901
Swim Experience (required) —Please choose an option—Choose OneBeginnerIntermediateAdvanced
2nd Child's Name - First & Last (required)
3rd Child's Name - First & Last (required)
4th Child's Name - First & Last (required)
5th Child's Name - First & Last (required)
6th Child's Name - First & Last (required)
Location Preference (required)
Note: Springfield, VA - Click Here To Register
—Please choose an option—Aston, PennsylvaniaBel Air, MarylandBowie, MarylandBroomall, PennsylvaniaCharleston, South CarolinaCherry Hill, New JerseyCockeysville, MarylandDeptford, New JerseyDundalk, MarylandExton, PennsylvaniaFrederick, MarylandJenkintown, PennsylvaniaLimerick, PennsylvaniaMidlothian, VirginiaNorth Bethesda, MarylandPerry Hall, MarylandPlymouth Meeting, PennsylvaniaSeverna Park, MarylandTurnersville, New JerseyWaldorf, MarylandYork, Pennsylvania
Program (required) —Please choose an option—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 Would You Like to be Contacted (required) —Please choose an option—EmailPhoneEmail or Phone
What Time of Day Would Best Work to Contact You (required) —Please choose an option—MorningAfternoonEvening
How Did You Hear About Us (required) —Please choose an option—Friend/RelativeFacebook or other Social MediaGoogle SearchShopping CenterCommunity Fair/EventDirectory/Print Advertisement
New or Returning Customer (required) NewReturning
Additional Message (optional)
