Private Swim Lessons

Private Swim Lesson Request

Rye YMCA Membership required.
Student Name*

First NameLast Name
Student date of birth*

MonthDayYear
Date
Parent/guardian Name (If swimmer is under 18, if 18 and over, please enter n/a)*

First NameLast Name
Email*
example@example.com
Mobile Phone Number

Area CodePhone Number
Availability (Choose all that may work for you. We do not offer private swim lessons outside of the times offered below.)

Monday, 1-6pm (last lesson begins at 5:30pm)Tuesday, 2:45-3:15pmWednesday, 12-3:15pmThursday, 2:45-3:15pmFriday, 12-3:15pmFriday, 6-7pmSaturday, 8:30-10:30amSaturday, 2:15 -4:15 pmSunday, 2:30-4pm
Please note specific times student is available if your desired time is not listed above or if you have selected a large time option:
Please list your top 5 day/time preferences. We will be assigning time slots based on your preferences.
Instructor preference

MaleFemaleNo preference
Name of preferred instructor if you know
Please describe any special circumstances/needs if applicable
Please describe your past swimming experience and your goals for the lessons.
Please check your email for a response from gloria@ryeymca.org. Inquiries for the fall will begin to be responded to on 8/19/24. You will not be contacted until we have an instructor available that matches your preferences.
Should be Empty:

Private Swim Lesson Request