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Personalized Swim Instruction Swim Team Mgt. Aquatic Facility Mgt. Amanda Panda

Personalized Swim Instruction™

Now enrolling for 2018 swim instruction and lifeguard certification classes.

Have you or your children ever been enrolled in the
Personalized Swim Instruction™ program?

Personal Information

[if applicable]

[if applicable]

[Enter the name of your neighborhood or community.]

[How did you hear about us?]

Transportation Contact

Who will usually be transporting the student(s) to their lessons? Sometimes we need to contact the person that will be bringing the student(s) to class because of last minutes change due to weather, construction, maintenance, pool conditions, etc.

[eg. Grandmother, Neighbor, etc.]

Students

You may enroll a maximum of five students at a time using this form.
(Note: All of our classes are limited to a maximum of four students per lesson.)

Student #1:

[MM/DD/YYYY]

Student #2:

[MM/DD/YYYY]

Student #3:

[MM/DD/YYYY]

Student #4:

[MM/DD/YYYY]

Student #5:

[MM/DD/YYYY]

Student Ability Level

Ability Level: Because we are very particular about matching students according to a combination of age and ability, we need to gather specific information about each student's swimming ability.

Lifeguard Certification Course: Students enrolling in our Lifeguard Certification Course must be able to swim at least 25 yards. Please select the "Student Lifeguard" ability level below.

Student #1:

This student has taken one or more swim classes with Jeff Kelly inc. and I have the "Student Ability Report" from the most recent session. (You will find the "Ability Level" on the backside of that report at the bottom labeled: "Student's Ability is now..." Please enter that number/letter combination here:

Please determine the student's "Ability Level" by carefully answering the questions detailed in the [Determine Student Ability] portion of our website. Please choose the student's "Ability Level":

Please let us know if you have any special concerns about this student.

Student #2:

This student has taken one or more swim classes with Jeff Kelly inc. and I have the "Student Ability Report" from the most recent session. (You will find the "Ability Level" on the backside of that report at the bottom labeled: "Student's Ability is now..." Please enter that number/letter combination here:

Please determine the student's "Ability Level" by carefully answering the questions detailed in the [Determine Student Ability] portion of our website. Please choose the student's "Ability Level":

Please let us know if you have any special concerns about this student.

Student #3:

This student has taken one or more swim classes with Jeff Kelly inc. and I have the "Student Ability Report" from the most recent session. (You will find the "Ability Level" on the backside of that report at the bottom labeled: "Student's Ability is now..." Please enter that number/letter combination here:

Please determine the student's "Ability Level" by carefully answering the questions detailed in the [Determine Student Ability] portion of our website. Please choose the student's "Ability Level":

Please let us know if you have any special concerns about this student.

Student #4:

This student has taken one or more swim classes with Jeff Kelly inc. and I have the "Student Ability Report" from the most recent session. (You will find the "Ability Level" on the backside of that report at the bottom labeled: "Student's Ability is now..." Please enter that number/letter combination here:

Please determine the student's "Ability Level" by carefully answering the questions detailed in the [Determine Student Ability] portion of our website. Please choose the student's "Ability Level":

Please let us know if you have any special concerns about this student.

Student #5:

This student has taken one or more swim classes with Jeff Kelly inc. and I have the "Student Ability Report" from the most recent session. (You will find the "Ability Level" on the backside of that report at the bottom labeled: "Student's Ability is now..." Please enter that number/letter combination here:

Please determine the student's "Ability Level" by carefully answering the questions detailed in the [Determine Student Ability] portion of our website. Please choose the student's "Ability Level":

Please let us know if you have any special concerns about this student.

Facilities Information

Please take a moment and familiarize yourself with our facilities and your options for classes at your community pool or your residence.

Lifeguard Certification Course #3: (Mornings) This course begins at Nottingham by the Green Clubhouse, 12700 Oakmont St, Overland Park, KS 66213 [map and directions]. Please select this facility on the next tab when enrolling in this course.

Our Outdoor Heated Facility – Homestead Woods

Homestead Woods, 11305 Greenwood St, Lenexa, Kansas 66215 [map and directions]
The classes are offered in the mornings and early afternoon. The swimming pool water temperature is controlled at 85 degrees!

Your Community or Country Club – Contracted

Communities that have Contracted our Services:
If we have a signed contract to offer lessons to the entire community, you will have seen our information advertised on your community's website and/or in your community's newsletter. We provide our Personalized Swim Instruction™ to thousands of students at numerous pools throughout the Kansas City area each summer. Lessons at homes associations and country clubs may begin as early as 8:00 a.m. or as late as 1:35 p.m. Each community will have an individualized schedule based on demand and instructor availability.

Desired Sessions

We will enroll each student in ONLY one of the class times you select from the pick list of times provided for each applicable session. This will make sense to you when you select the [Facility] and then the [Session] in the feature below. As you will see, you will be able to select and rank up to four class-time-options for each student for each session. This will provide us with flexibility in selecting the class times most compatible (with regard to a combination of age and ability), for each student within your specified availability.

Full class times are red and have a "[Full]" designator after them. You may select class time(s) that are full to be added to the wait list for the selected class time(s). If an opening occurs in a full class we will contact the people on the wait list by phone in the order they were added to complete their enrollment.

We will contact you to discuss the options if we are unable enroll you in any of the times you select.

Standard class periods at all facilities are 35 minutes. Evening teen/adult class periods at the Grand Court KC are 70 minutes.

Lifeguard Certification courses: Please read the details on our website as the times and locations vary throughout the duration of each course.

Please contact me about setting up a private or semi-private session. (Note: All of our classes are limited to a maximum of four students with the exception of our Lifeguard Certification Course.)

Student #1:

Payment

Please provide your payment information via this secure payment form.

Your credit card will only be charged for the sessions in which we are able to enroll the student(s). We will contact you to work out alternative times if we are unable to enroll you in your desired session(s).

I understand and I agree to the "Enrollment Procedure and Policies" and the "Rescheduling Policies for Weather & Pool Maintenance". I further understand that once I am enrolled my payment is non-refundable. [Click here for our full policies.]

I understand that my enrollment is not final until I have received a confirmation via email and/or telephone from Jeff Kelly inc.

If you have a coupon, please type in the source of your coupon.

Credit Card Information

What is this?

Billing Information

Confirm Enrollment

Everything in the form was filled out correctly if all the steps have a green checkmark icon. A red checkmark icon indicates that some information is missing or contains invalid data. Please review and correct the errors prior to submitting your registration.

Your enrollment is not final until you have received a confirmation via email and/or telephone from Jeff Kelly inc. that you have been successfully enrolled in your desired session(s).

We will contact you at our first opportunity. However, if you don't hear from us within three (3) business days, please call us at 816-942-SWIM(7946).

I would like to receive information about the following stroke focused classes:
(Note: These classes are only available during sessions 1, 2, and 3 at our indoor facility.)

If you wish to review or edit your information, simply click on the applicable tab(s) above.