Home
Mermaid
Our Services
Mermaid Retreats
Mermaid University
Join the Pod!
Resort Entertainment
*Salty Mermaid Swim School*
Programs
Swim School Registration
More
Bio
Gallery
Media
Booking Agreement & Liability Release Form
Photography Release Form
Request A Quote
Connect
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?
*
Referral
Facebook
Instagram
Google or Web search
Other
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
*
English
Spanish
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
*
Once per week
2-3 per week
What are your preferred times of the day for classes?
*
morning 9:00am - 11:00am
afternoon 12pm -4
other
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
*
XS
SM
MED
LG
I have my own
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
Home
Mermaid
Our Services
Mermaid Retreats
Mermaid University
Join the Pod!
Resort Entertainment
*Salty Mermaid Swim School*
Programs
Swim School Registration
More
Bio
Gallery
Media
Booking Agreement & Liability Release Form
Photography Release Form
Request A Quote
Connect