Private Swim Lesson Request

This is an interest form for private lessons. When an instructor becomes available, we will call to set up your first lesson. Lessons are half an hour long.
- Individual privates are 5 lessons for $150, semi privates are 4 for $228.
- Requests for the outdoor pool locations will begin on April 24.
For more information please contact Jessica Paneral.
Contact Name*
Phone Number
Email
Student Name
Age
Preferred Instructor
Approximate Level (If Known)
Preferred Location(s) (Choose All That Apply)

Birchwood PoolEagle PoolFamily Aquatic CenterHarper Pool
Preferred Day(s) (Choose All That Apply)

MondayTuesdayWednesdayThursdayFridaySaturdaySunday
Preferred Time(s) (Choose All That Apply)

Morning (8am-11am)Mid-Day (11am-3pm)Afternoon (3pm-6pm)Evening (6pm-9pm)Other
Goals for private lessons
Previous swim experience
Notes
Should be Empty: