New Student Booking Request
Private at home swimming lessons are available to students 3 months and up Monday - Friday 8am - 6pm. Dont have a home pool? Let us know below and we’ll find one local to you for your swim lessons. Complete the form below & lock in your classes with payment.
LOS ANGELES STUDENTS
Same rules apply! We’re swimming every 1st & 3rd weekend of the month. Lessons are available to be scheduled Fridays & Saturdays from 5am - 10pm.
Student Name
*
First Name
Last Name
DOB
*
-
Month
-
Day
Year
Date
Student (II) Name
First Name
Last Name
DOB
-
Month
-
Day
Year
Date
Student (III) Name
First Name
Last Name
DOB
-
Month
-
Day
Year
Date
Student (IV) Name
First Name
Last Name
DOB
-
Month
-
Day
Year
Date
Parent/Guardian (if under 18)
First Name
Last Name
Email
*
example@example.com
Phone Number
*
Please enter a valid phone number.
Format: (000) 000-0000.
Do you have a pool at home?
*
Yes
No
Address to pool (Zip code if no pool)
Street Address
Street Address Line 2
City
Please Select
Alabama
Alaska
Arizona
Arkansas
California
Colorado
Connecticut
Delaware
District of Columbia
Florida
Georgia
Hawaii
Idaho
Illinois
Indiana
Iowa
Kansas
Kentucky
Louisiana
Maine
Maryland
Massachusetts
Michigan
Minnesota
Mississippi
Missouri
Montana
Nebraska
Nevada
New Hampshire
New Jersey
New Mexico
New York
North Carolina
North Dakota
Ohio
Oklahoma
Oregon
Pennsylvania
Rhode Island
South Carolina
South Dakota
Tennessee
Texas
Utah
Vermont
Virginia
Washington
West Virginia
Wisconsin
Wyoming
State
Zip Code
Have you had swim lessons before?
Yes
No
Are you purchasing a lottery ticket?
*
Yes
No
Ideal Start Date
*
-
Month
-
Day
Year
First lesson
When would you like to swim? Time & days of the week.
Ex: Mon, Wed at 9a
Let us know who referred you to us so we can thank them!
First Name
Last Name
Request to Book
Should be Empty: