2022 Private Swim Lesson Registration

Swimming Skills Survey

	Yes	No	Not Sure
Can put head under water comfortably.
Is comfortable in the shallow end.
Can float on back.
Can do front crawl/freestyle.
Can do a front crawl with breathing to the side.
Can swim/comfortable in deeper water.
Can dive, in some fashion.
Can do breaststroke.
Can do elementary backstroke.
Has other advanced skills.

Lesson Options: All lessons are 30 minutes in length.

Single Lesson Member $30 Single Lesson Non-Member $40 Four Lessons Member $95 Four Lessons Non-Member $140 Eight Lessons Member $190 Eight Lessons Non-Member $280
* Please complete ONE application per child.

* No refunds will be given if lessons are not completed by September 1, 2022.

* Once this form is submitted, an instructor will contact you to schedule the lessons. All private lessons are scheduled through your assigned instructor.

* In the event you should cancel a lesson, you must do so at least 2 hours prior to the lesson. Please note, you must contact the instructor directly. The office staff is not responsible for relaying messages left on the voicemail. If you fail to show up for a lesson, a refund will not be issued.
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Single Lesson Member $ 30.00

Single Lesson Non-Member $ 40.00

Four Lessons Member $ 95.00

Four Lessons Non-Member $ 140.00

Eight Lessons Member $ 190.00

Eight Lessons Non-Member $ 280.00

Total $ 0.00
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