Aquatics Training Cabarete (ATC)

Give your child a head start in the water by learning how to swim safely..
And help underserved boys along the way!

Swimmer Registration /

Inscripción Al Programa Natación

How did you hear about us? ¿Cómo supe de nosotros?*

Registration Fee

Registration fee ($9.00)
One-time registration fee per swimmer

Lesson Plans & Payment Options*

** Remaining payment(s) are due as follows:

2 Payment: 30 days from the date of initial payment

3 Payment: 30 and 60 days from the date of initial payment

** Late Payments: Please make payment(s) on time. After 5 day grace period, Either $500 DOP or 10% of payment amount (whichever is greater) will be added to balance due.

Name of Swimmer*

Date of Birth / Fecha de Nacimiento*

Age / Edad*

Gender / Género*

Male
Female

Email / Correo electrónico*

Phone Number / Teléfono*

Country*

Address / Dirección*

City, Region and Postal Code*

Name of Parent or Guardian / Nombre de Tutor / Emergency Contact*

Phone Number 2 / Teléfono 2*

Swimmer's Skill Level & Program Selection

Current Level of Swim & Lifesaving Skills*

None
No swim skills and/or lifesaving experience.
Some
Some experience in the water but not confident with swim level and/or lifesaving ability.
Basic
Able to enter, exit and move in the water but lacks good swim skills and/or lifesaving ability.

Choice of Swim Program*

Parent & Toddle (TOT) (ages 1-3)
Preschool (ages 4-7)
Youth (ages 8-17)
Adult (ages 18+)

Start Date (preferred) / Fecha de inicio del programa*

** Program start dates and scheduling for groups classes are based on the number of registered swimmers. Optimal group size is 6 - 8 swimmers. When optimal group size is reached, program classes are scheduled. Thank you!

Please note that each Swim Level is expected to take an average of 3 months to complete, and each Swimmer will pass to the next Swim Level after the Swimmer meets ATC standards and is qualified to move on. Classes may be modified based on instructor's discretion and operational needs.

Tenga en cuenta que se espera que cada nivel de natación tome un promedio de 3 meses para progresar y aprender las habilidades, y el instructor pasará al participante al siguiente nivel de natación después de que cumpla con los estándares ATC y esté calificado para seguir adelante. Clases sujetas a revisión según necesidades operativas.

Medical / Behavior Concerns

Does Swimmer have any medical/behavior concerns that the staff should be aware of? If YES, please explain in detail below and attach medical authorization:

Tiene usted o su hijo alguna condición médica, de salud general o de comportamiento que el personal deba conocer? Si es SÍ, explique en detalle a continuación y adjunte autorización médica:

Medical / Behavior Concerns Answer*

Description of Medical / Behavior Concerns

File Upload

Browse

Terms & Conditions*

I have read and agree to the terms above.

Coupon Code

Swimmer's Total

$9.00

Inspire Boys To Become Positive Young Men!

Support InspireDR's free after-school programs that teach boys practical life skills and instill positive values, so boy in the Dominican Republic mature into responsible men, husbands and fathers.

Donation Amount ($USD)

Suggested Amounts

$20
$100
Other Amount

Add 3% to my donation to cover credit card fees.

Grand Total

$9.00

Billing Information

Name*

I am representing an organization

Payment Method

Credit Card
Offline

Card Number*

Visa
Mastercard
American Express
Discover

Expiration Date*

Country*

Address*

City, State and ZIP Code*

Email*

Phone Number*