Please enable JavaScript in your browser to complete this form.Registration Status: *New FamilyReturning FamilyName *FirstLastCell Phone *Zip Code *Email *EmailConfirm EmailAt which American Swim Academy location would you like to schedule lessons? *Select LocationFremontNewarkLivermoreDublinWalnut CreekHow did you hear about us? *Please select oneInternet SearchFacebookInstagramTwitterYouTubeYelpChamber/Business AssociationEventMother's GroupNewsletterOnline DirectoryPreschool/DaycareReferralSchoolSwimmer 1Name *Birthdate *MM123456789101112/DD12345678910111213141516171819202122232425262728293031/YYYY2022202120202019201820172016201520142013201220112010200920082007200620052004200320022001200019991998199719961995199419931992199119901989198819871986198519841983198219811980197919781977197619751974197319721971197019691968196719661965196419631962196119601959195819571956195519541953195219511950194919481947194619451944194319421941194019391938193719361935193419331932193119301929192819271926192519241923192219211920Gender *MaleFemaleProgram: *Infant/ToddlerPre-SchoolerBeginningIntermediate/Adv.Young AdultAdultIs there any additional information about this student you would like to share with us?Swimmer 2Do you have a second swimmer to register? *YesNoName of Swimmer 2 *Birthdate *MM123456789101112/DD12345678910111213141516171819202122232425262728293031/YYYY2022202120202019201820172016201520142013201220112010200920082007200620052004200320022001200019991998199719961995199419931992199119901989198819871986198519841983198219811980197919781977197619751974197319721971197019691968196719661965196419631962196119601959195819571956195519541953195219511950194919481947194619451944194319421941194019391938193719361935193419331932193119301929192819271926192519241923192219211920Gender *MaleFemaleProgram: *Infant/ToddlerPre-SchoolerBeginningIntermediate/Adv.Young AdultAdultIs there any additional information about this student you would like to share with us? Swimmer 3Do you have a third swimmer to register? *YesNoName of Swimmer 3 *Birthdate *MM123456789101112/DD12345678910111213141516171819202122232425262728293031/YYYY2022202120202019201820172016201520142013201220112010200920082007200620052004200320022001200019991998199719961995199419931992199119901989198819871986198519841983198219811980197919781977197619751974197319721971197019691968196719661965196419631962196119601959195819571956195519541953195219511950194919481947194619451944194319421941194019391938193719361935193419331932193119301929192819271926192519241923192219211920Gender *MaleFemaleProgram: *Infant/ToddlerPre-SchoolerBeginningIntermediate/Adv.Young AdultAdultIs there any additional information about this student you would like to share with us? PhoneSubmit