Private Swimming Lesson Request Form
Rocky Mountain College offers private swim lessons to members of the public based on staff availability. Classes are limited to 3 participants to ensure individualized instruction opportunity. Each lesson is $30 hours per lesson per participant. Participants should bring a swimsuit, towel, and goggles. Please submit this form to be added to the class roster. Classes are held at the RMC Fortin Center Swimming Pool on Sundays from 1:30 - 2:30 pm. Submission of this form does not guarantee reservation once lesson confirmation is available customers will be contacted to finalize reservation. Lessons cancelled by clients within 48 hours of lesson will not be provided a refund. Lessons cancelled by RMC will receive full refunds.
Parent/Guardian Name
*
First Name
Last Name
Email
*
example@example.com
Phone Number
*
Please enter a valid phone number.
Address
*
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
Student Name #1
*
First Name
Last Name
Student #1 Date of Birth
*
-
Month
-
Day
Year
Date
Student Name #2
First Name
Last Name
Student #2 Date of Birth
-
Month
-
Day
Year
Date
Student Name #3
First Name
Last Name
Student #3 Date of Birth
-
Month
-
Day
Year
Date
Information about student instructor should be aware of
*
Lesson Date
*
Signature
*
Clear
My Products
prev
next
( X )
Private Swimming Lesson (# of participants)
$
30.00
Quantity
1
2
3
Credit Card Details
First Name
Last Name
Credit Card Number
Security Code
Card Expiration
Submit
Should be Empty: