Backyard Lesson Payment Form
Backyard Lessons Payment Form
Contact
**Please note there is a $3.00 convenience fee for all credit card payments**
Parent Name
Swimmer(s) Name(s)
Lesson Date
Email
Instructor
- Select -
Laura
Taylor
Claire
Nora
Kerrie
Katelyn
Faith
Lesson Payment Amount
Convenience Fee Amount
Total Charge
Pay with Card (Stripe)
Submit Form
Home
Contact Us
Registration Alert Signup
Kids / Youth
Kid’s Weekly Lessons
Adaptive Swim Lessons
Pre-Competitive Swimming
Splash Cash Referral
Kid’s Program Pricing
Back
Adults
Adult Swim Lessons
Adult Program Pricing
Back
Backyard Programs
Summer At Home Lessons
Policies & Waivers
Payment Form
Back
About Us
FAQs
Make Up Policy
On Site Program Waitlist
On Site Program Withdrawal
Program Calendar
Location
Shop
Back
× Close Panel