Instructor Intake Form
Instructor Name
*
First Name
Last Name
Preferred Name
If different from your legal name. This is the name that will go on our website. It is also the name your swimmers will call you.
Preferred Pronouns
*
Email address
*
example@example.com
Desired Start Date
*
/
Month
/
Day
Year
Date
Preferred Location(s) - Select all you'd like to work at.
*
South Philly
Center City
Creekside (summer only)
Schedule Availability
*
Are you willing to sub?
*
Please Select
Yes
No
Preferred age range of swimmers
*
Preferred ability level of swimmers
*
Are you comfortable working with clients with special needs?
*
Do you speak any additional languages? If not, put N/A.
*
What is your swimsuit size? For women's suits the sizes are in 28/30/32/etc., and for men's suits they are in S/M/L/XL/etc.
*
Anything else we should know?
Submit
Should be Empty: