2025 Private and Semi-Private Swim Lesson Registration Form

Lesson Choice

Total $0.00

Credit Card

First Name

Last Name

Credit Card Number

Security Code

Expiration Month

Expiration Year

Billing Address

Street Address

Street Address Line 2

City

State / Province

Postal / Zip Code

Country

If you are enrolling in semi-private lessons please list the names of the other students you wish to have lessons with below
Name

First NameLast Name
Name

First NameLast Name
Please select the following options to better assist in scheduling your lessons. Someone will be in contact to set up your exact schedule.
Preference

AM lessonsPM lessons
Please list all days of the week that work for you

MondaysTuesdaysWednesdaysThursdaysFridaysWeekends
Prefered Start Date

MonthDayYear
Date
Should be Empty:

We are booked for the 2025 swim season - please try again next year!