Pre-Registration Form Complete the form below to reserve your spot in a Callan Swim School class! Your Child's Information First Name* Last Name* Child's Date of Birth* Gender* ---FemaleMale Child's Swimming Experience Level ---No water experienceComfortable in waterComfortable putting their face in the waterCan float independentlyCan swim 3-5 feet independently (dog paddle)Can swim 10 feet independently (windmill arms with roll over breath)Can swim the basic freestyle/backstrokeCan swim the basic breastroke/butterfly Additional Information Program or Event* ---Swim LessonsInfant Swim LessonsSpecial Needs Swim LessonsSwim Party Day Preference MondayTuesdayWednesdayThursdayFridaySaturday Time Preference MorningAfternoonEvening Parent Information First Name Last Name Street Address Address Line 2 City State ---AlabamaAlaskaArizonaArkansasCaliforniaColoradoConnecticutDelawareDistrict of ColumbiaFloridaGeorgiaHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaOhioOklahomaOregonPennsylvaniaRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahVermontVirginiaWashingtonWest VirginiaWisconsinWyomingArmed Forces AmericasArmed Forces EuropeArmed Forces Pacific ZIP Code Primary Phone* Email* How did you hear about us?* ---Direct MailEventFacebookMagazineSchool CommunicationSearch EngineWord of Mouth