Program Information Request


Please fill out the form below to request information about a program at Eagle Pointe. We will follow up as soon as possible to provide you with the answers to any questions you may have.


Personal Information
Name *
  First Last
Email *
Address *
Street Address
City State / Province / Region
Zip Code Country
Phone Number *
Your Instruction Profile
Emergency Contact Name : *
Emergency Contact Phone Number : *
Comments: Please add children"s names
and ages, number of people attending and
any additional information in this box:
Terms and Conditions :*
by checking this box you are agreeing o our terms
and conditions.
I Agree
Please select the program(s) you are interested in  :
Ballet, Tap and JazzTumbling
Competitive CheerTennis
KarateYour Certification
Homeschool P.E. ClassGroup Swim Lessons
Private Swim LessonsDevelopmental Swim
GuardStart - Jr. LifeguardingRed Cross Swim Level Testing
Safe Boating Cards (summer only)Scout Badges / Events
Babysitter TrainingBabysitter Training Plus
Lifeguarding CertificationsExtreme Boot Camp
First Aid CPR & AED CertificationsClock Hour Training
Please pick desired swim lesson time
(all times subject to avalibility).
Signed permission slip due first day of class

   

* Required