Swim School Registration - Divine Mermaid - Professional Mermaid Performer and Underwater artist

Home
Mermaid
Resort Entertainment
*Salty Mermaid Swim School*
- Programs
- Swim School Registration
More

Salty Mermaid Swim School

Registration Form

* Indicates required field

Name *

First

Last

Name of Parent or Guardian if under 18 *

First

Last

Age *

Phone Number *

Email *

Address *

Line 1

Line 2

City

State

Zip Code

Country

How did you hear about us? *

If you are visiting Puerto Vallarta please let us know where you are staying *

Line 1

Line 2

City

State

Zip Code

Country

Please let us know which program(s) you are interested in *

Swimming Lessons Mermaid Classes Snorkelling / Open Water Safety Class Other

Choose One *

Private (2 students max) Semi Private / Group (3+ students)

Preferred language *

If other please describe *

Tell Us About Yourself

Describe yourself *

I am a non-swimmer I am a beginner I am a good swimmer I am a confident swimmer looking to refine my skills I am a competitive swimmer who is extremely comfortable in the water I am very uncomfortable in water and would like to overcome my fears and learn to enjoy it

Have you ever taken swimming lessons before? *

Yes No

If yes where? *

What was the last level you completed? *

I am interested in lessons *

What are your preferred times of the day for classes? *

Please tell us what dates or day(s) of the week you prefer *

If you are registering for "Mermaid Class" have you ever used a monofin or taken a mermaid class before? *

Yes No

If "yes" where? *

Can you swim 25 meters unaided - comfortably at the surface in deep water? *

yes no

Can you swim 10 -15 meters - comfortably underwater? *

yes no

Please select your tail size *

What size shoe do you wear? *

Do you have any physical / mental or other special needs / medical concerns you would like us to be aware of? *

Yes No

If yes please describe *

**The information we collect will never be shared or discussed with anyone without your consent. We ask for it solely for the comfort & safety of the individual, in order to provide the best possible instruction for the participant. Thank you for registering for our fabulous upcoming Summer 2019 session! Remember class is in session June 30th - August 30th & hope to SEA you there! Congratulations you're registration is complete! 🎉 We look forward to swimming with you real soon! Best Fishes & Mermaid Kisses!

Submit

Copyright 2014. Divine Mermaid

Home
Mermaid
Resort Entertainment
*Salty Mermaid Swim School*
- Programs
- Swim School Registration
More