STEP 1: Registration

  • Please fill out this form with complete and accurate information. Payment is due IN FULL at time of registration.
  • Once you hit “SUBMIT”, you will be redirected to a Registration Payment page to complete the registration.  If you desire to pay with credit card, debit card, prepaid gift card or PayPal.

    OR you can send a check to:
    Kassy Clifford
    4320 Miller Oak Drive,
    Auburn CA 95602

    When your check is received and cleared you will receive an email from Swim to Live.

    Have a wonderful day!

Fields marked with an * are required


  • A deposit of half the class fee (50%) is required to hold your class space until day 1 of your session, at which time, any remaining balance is due. If no deposit is made within 48 hours of registration, the student will be removed from the time slot. Full payment must be received at the start of the session. Checks may be made payable to: Kassy Clifford or Swim To Live Swim School, 4320 Miller Oak Drive, Auburn, CA 95602



  • Once your session has been reserved, it is considered "sold" and is no longer marketable. You may give your child’s time slot to a friend or family member, but there will be no refunds for cancellations.
  • There is a 24 hour cancellation policy. We understand that children get sick. If you think your child is too ill to swim, please call the night before. We will make every effort to rearrange our schedule so that your child will receive his/her full session. If you do not allow at least 24 hours notice, we cannot guarantee that your child will be able to make up his/her missed class.



  • I have read and understand Swim To Live's Rules and Words of Wisdom


  • I agree to allow SWIM TO LIVE SWIM SCHOOL and Kassy Clifford, use, for promotional purposes (e.g. brochures and advertisements) any photos/video of my child taken during swimming lessons.



  • Please list any relevant illnesses, disabilities or special needs your child may have that might effect your child in his/her swimming lessons



I, the undersigned, as the parent or legal guardian, agree to allow my child(ren) to participate in swimming lessons with SWIM TO LIVE, and its subsidiaries, divisions, affiliates, shareholders, officers, and employees (collectively, the "Company and its Representatives") from all claims, causes of action, or any other demands, which I, or my child, ever had, may have now or have at any time in the future, caused by, or arising out of , any alleged duty, connected with or related to activities occurring while my child is participating in swimming lessons at SWIM TO LIVE, or with Kassy Clifford, 4320 Miller Oak Drive, Auburn, CA 95602. And/or that may occur as a result of the use of any of the area. Make Up Policy: Please Initial: Please Initial: Medical History: Please Initial: I agree to indemnify and hold harmless the Company and its Representatives from and against any and all actual or threatened losses, liabilities (including liability, for personal injury or death), claims, damages, obligations, additional payments, costs and expenses, however caused and on any theory of liability, whether brought directly, derivatively, in contract, strict liability, statutory liability, common law liability, or tort arising out of, or relating to, my child(ren)’s participation in the swimming lessons provided by Kassy Clifford, and SWIM TO LIVE SWIM SCHOOL. I have noted on this form all relevant medical history, or medical problems of significance, pertaining to each child. I understand and agree that my child must always be under the supervision of a responsible adult any time he/she is near or around water. Additionally, I understand and agree that the lessons provided by Kassy Clifford and SWIM TO LIVE, do not imply or make any guarantee whatsoever of the water safety of my child(ren) and his/her ability to swim.