Jack Splash Swim School

Pine Cone Marketplace
1733 Pine Cone Road South,
Suite 1000
Sartell, MN 56377

Click Here for a Map

Phone: 320-230-6633
Fax: 320-240-9481
e-mail:
info@jacksplashswimschool.com

Employment Opportunities

Jack Splash Registration Form

* indicates a required field

Parents Name:	*
Address:
City:
State:	Zip:
E-mail Address:
Home Phone:	*
Work Phone:

1st Child's Name: *

Birthday:

Level: *

Session: *

1st Choice Day: Time:

2nd Choice Day: Time:

2nd Child's Name:

Birthday:

Level:

Session:

1st Choice Day: Time:

2nd Choice Day: Time:

3rd Child's Name:

Birthday:

Level:

Session:

1st Choice Day: Time:

2nd Choice Day: Time:

4th Child's Name:

Birthday:

Level:

Session:

1st Choice Day: Time:

2nd Choice Day: Time:

I am a (Please select one) Current Family (I have taken lessons with Jack Splash)
New Family (I am brand new!)

You can also print and mail or drop off your registration form. Download registration PDF form.