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SHIREEN SAPIRO
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REGISTRATION
Register for a Program
ISR Lessons
Adaptive Lessons
Parent Name *
Child's Name
Child's Date of Birth
Child's Age
Parent Email *
Parent Phone
Location / City
Swimming Experience
Select level
No experience — never been in a pool
Some water exposure, no formal lessons
Beginner lessons completed
Comfortable in water
Preferred Start Date
Preferred Time Slot
Medical Notes / Important Information
Additional Message
I understand that ISR official registration and an ISR nurse/medical review are required before lessons begin. I confirm that I will complete these steps as directed by Shireen.
Submit ISR Registration
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