Master’s Program Sing Up Master's Program SWH Masters Registration (18 & Over)Name* First Name Last Name E-mail* Enter Email Confirm Email Address* Street Address Street Address Line 2 City State / Province / Region ZIP / Postal Code AfghanistanAlbaniaAlgeriaAmerican SamoaAndorraAngolaAnguillaAntarcticaAntigua and BarbudaArgentinaArmeniaArubaAustraliaAustriaAzerbaijanBahamasBahrainBangladeshBarbadosBelarusBelgiumBelizeBeninBermudaBhutanBoliviaBonaire, Sint Eustatius and SabaBosnia and HerzegovinaBotswanaBouvet IslandBrazilBritish Indian Ocean TerritoryBrunei DarussalamBulgariaBurkina FasoBurundiCambodiaCameroonCanadaCape VerdeCayman IslandsCentral African RepublicChadChileChinaChristmas IslandCocos IslandsColombiaComorosCongo, Democratic Republic of theCongo, Republic of theCook IslandsCosta RicaCroatiaCubaCuraçaoCyprusCzech RepublicCôte d'IvoireDenmarkDjiboutiDominicaDominican RepublicEcuadorEgyptEl SalvadorEquatorial GuineaEritreaEstoniaEswatini (Swaziland)EthiopiaFalkland IslandsFaroe IslandsFijiFinlandFranceFrench GuianaFrench PolynesiaFrench Southern TerritoriesGabonGambiaGeorgiaGermanyGhanaGibraltarGreeceGreenlandGrenadaGuadeloupeGuamGuatemalaGuernseyGuineaGuinea-BissauGuyanaHaitiHeard and McDonald IslandsHoly SeeHondurasHong KongHungaryIcelandIndiaIndonesiaIranIraqIrelandIsle of ManIsraelItalyJamaicaJapanJerseyJordanKazakhstanKenyaKiribatiKuwaitKyrgyzstanLao People's Democratic RepublicLatviaLebanonLesothoLiberiaLibyaLiechtensteinLithuaniaLuxembourgMacauMacedoniaMadagascarMalawiMalaysiaMaldivesMaliMaltaMarshall IslandsMartiniqueMauritaniaMauritiusMayotteMexicoMicronesiaMoldovaMonacoMongoliaMontenegroMontserratMoroccoMozambiqueMyanmarNamibiaNauruNepalNetherlandsNew CaledoniaNew ZealandNicaraguaNigerNigeriaNiueNorfolk IslandNorth KoreaNorthern Mariana IslandsNorwayOmanPakistanPalauPalestine, State ofPanamaPapua New GuineaParaguayPeruPhilippinesPitcairnPolandPortugalPuerto RicoQatarRomaniaRussiaRwandaRéunionSaint BarthélemySaint HelenaSaint Kitts and NevisSaint LuciaSaint MartinSaint Pierre and MiquelonSaint Vincent and the GrenadinesSamoaSan MarinoSao Tome and PrincipeSaudi ArabiaSenegalSerbiaSeychellesSierra LeoneSingaporeSint MaartenSlovakiaSloveniaSolomon IslandsSomaliaSouth AfricaSouth GeorgiaSouth KoreaSouth SudanSpainSri LankaSudanSurinameSvalbard and Jan Mayen IslandsSwedenSwitzerlandSyriaTaiwanTajikistanTanzaniaThailandTimor-LesteTogoTokelauTongaTrinidad and TobagoTunisiaTurkeyTurkmenistanTurks and Caicos IslandsTuvaluUS Minor Outlying IslandsUgandaUkraineUnited Arab EmiratesUnited KingdomUnited StatesUruguayUzbekistanVanuatuVenezuelaVietnamVirgin Islands, BritishVirgin Islands, U.S.Wallis and FutunaWestern SaharaYemenZambiaZimbabweÅland Islands Country Mobile Phone*Home Phone*Emergency Contact*Emergency Phone*Date of Birth* Date Format: MM slash DD slash YYYY Gender Male Female Insurance CarrierInsurance PhoneCancellation PolicyAll cancellations must be communicated through email mikey@swimwithheart.org Please be aware of the following cancellation terms: No refunds, credits, or transfers will be given for any reason. If you wish to cancel your membership, you must use email mikey@swimwithheart.org by the 15th of the month prior to the month you wish to cancel. Failure to cancel membership by the 15th of the prior month will result in necessary fees related to pool time and instructor’s time. Swim with Heart™ does not offer refunds, credits, or transfers for cancelled lessons and / or cancelled memberships. * I have read and agree to the above statement.*Registration and Tuition PolicyPayments will automatically draft on the 1st of each month through Stripe. Swim with Heart does not accept cash or checks. If you wish to cancel your membership, please use the CONTACT US tab on the team website by the 15th of the month prior to the month you wish to cancel. Swim with Heart requires all members to pay a $150 annual registration fee. This fee is non refundable or exchangeable. Please know there are no refunds for any reason. Swim with Heart is responsible for rental fees, staff time, and other expenses.Consent* I have read and agree to the above statement.*Please enter your US Masters registration number here:*All Masters swimmers must have a valid USMS registration.If you need to register with USMS, you can do that here - https://www.usms.org/reg/register.phpMasters Practice Programs*Unlimited Weekly Practices ( $ 120.00 for each month.)Private Master Lessons (Adults with special needs-with prior approval) ( $ 350.00 for each month.)No Credit Card numbers or Security codes are kept by SWH. Our Credit card platform is Stripe. Stripe has been audited by a PCI-certified auditor and is certified to PCI Service Provider Level 1. This is the most stringent level of certification available in the payments industry.
