Register for Private Swim Lessons with Kelly

Complete the registration form below to get started. Once your registration is received, we'll contact you regarding scheduling and availability.

Parent/Guardian (Adult doing Registration) First Name *

Parent/Guardian (Adult doing Registration) Last Name *

Relationship to Swimmer *

Primary Phone *

I consent to receive marketing text messages like discounts and promotions from Swim Lessons with Kelly at the phone number provided. Frequency may vary. Message & data rates may apply. Text HELP to (832) 497-1754 for assistance, reply STOP to opt out at any time.

I consent to receive non-marketing text messages from Swim Lessons with Kelly, regarding appointment confirmations and reminders, lessons information and updates and service-related follow-ups. Message frequency varies. Message & data rates may apply. Text HELP to (832) 497-1754 for assistance. You can reply STOP to opt out at any time.

Parent/Guardian (Adult doing Registration) Secondary Phone (optional)

Parent/Guardian (Adult doing Registration) Email *

Emergency Contact Name *

Emergency Contact Phone *

Emergency Contact Relationship *

Do you have a pool at your house?

Yes

Address

Street Address

State

City

Postal Code

Type of Lesson *

Private

Lesson Location

My pool (6610 Misty Spring Ln, Spring, TX 77379)

How many lessons per week can you do (1 to 5)?

Student #1 Full Name *

Student #1 Date of Birth *

Student #1 Age *

Student #1 Gender

Boy

Girl

Student #1 Previous Swim Experience?

Yes

If yes, describe student #1 Previous Swim Experience

Has Student #1 taken lessons with Kelly before?

Yes

Does student #1 use floaties?

Yes

Student #1 Medical Conditions?

Yes

Student #1 Describe In Case Of Medical Conditions

Student #1 Medications Taken Regularly

Student #1 Special Accommodations Needed

Student #1 Recent Injuries

Do you want to enroll a second student?

Yes

Student #2 Full Name

Student #2 Date of Birth

Student #2 Age

Student #2 Gender

Boy

Girl

Student #2 Previous Swim Experience

Yes

If yes, describe Student #2 previous swim experience

Has Student #2 taken lessons with Kelly before?

Yes

Does student #2 use floaties?

Yes

Student #2 Medical Conditions?

Yes

Student #2 Describe in Case Of Medical Conditions

Student #2 Medications Taken Regularly

Student #2 Special Accommodations Needed

Student #2 Recent Injuries

Do you want to enroll a third student?

Yes

Student #3 Full Name

Student #3 Date Of Birth

Student #3 Age

Student #3 Gender

Boy

Girl

Student #3 Previous Swim Experience

Yes

If yes, describe Student #3 Previous Swim Experience

Has Student #3 taken lessons with Kelly before?

Yes

Does student #3 use floaties?

Yes

Student #3 Medical Conditions?

Yes

Student #3 describe In Case Of Medical Conditions

Student #3 Medications Taken Regularly

Student #3 Special Accommodations Needed

Student #3 Recent Injuries

Do you want to enroll a fourth student?

Yes

Student #4 Full Name

Student #4 Date Of Birth

Student #4 Age

Student #4 Gender

Boy

Girl

Student #4 Previous Swim Experience?

Yes

If yes, describe Student #4 Previous Swim Experience

Has Student #4 taken lessons with Kelly before?

Yes

Does student #4 use floaties?

Yes

Student #4 Medical Conditions?

Yes

Student #4 describe In Case Of Medical Conditions

Student #4 Medications Taken Regularly

Student #4 Special Accommodations Needed

Student #4 Recent Injuries

Anything else we should know?

I consent to posting student photo and video on social media and website. *

Yes

I agree to allow Kelly to supervise my child unless otherwise instructed.
I release Swim Lessons with Kelly from liability in case of injury or accident.
I agree to the cancellation, refund, and weather policies.
I understand payment is due at the end of the lesson. Swim Lessons with Kelly doesn't take payments up front.

Please upload parent's driver's license picture. You can take the picture with your phone and then uploaded it using the bellow section.

Driver's License Upload

Click to upload

Secure your spot with a $100 non-refundable enrollment/registration fee. This fee is charged once per year, per family—not per lesson. Lesson fees are paid separately

Preferred payment method for the registration fee: *

Zelle or cash at the lesson site.

Visa or Master card (will incur in a 3% fee).

Thank you for filling the registration form! Click submit to see important information.

Private Swim Lessons with Kelly

45-minute personalized swim lessons for kids and adults.

My goal isn't to keep your child enrolled. My goal is to teach your child to swim.

Kelly has been teaching children and adults to swim since she was 11 years old. Her goal isn't to keep swimmers enrolled indefinitely—it's to teach them the skills, confidence and independence they need to truly swim.

Quick Links

Get In Touch With Us

Click to call (832) 497-1754

Click to text (832) 497-1754

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