Private Swim Lesson Inquiry 2025-2026

PRIVATE & SEMI PRIVATE SWIM LESSONS INQUIRY

Please note: This is a general inquiry, not a registration form. We will reach out to you after receiving your submission to discuss scheduling your lessons.
Participant Name*

First NameLast Name
Participant Age*
Instructor Preference
Swim Ability (check off all that apply)*

New to swimmingCan swim Free StyleCan swim half a lengthCan swim Breast StrokeCan swim a full lengthCan Swim Back StrokeCan put their face in the waterCan swim ButterflyCan swim with side breathingCan float on their frontCan float on their back
Days Availability - (Sat/Sun mornings unavailable)*

MONDAYWEDNESDAYTHURSDAYFRIDAYSATURDAYSUNDAY
Times Availability - (Sat/Sun mornings unavailable)*

MORNING (Mon-Fri, 9:30-12:00 PM)AFTERNOON (Mon-Thur, 12:00-3:00 PM)AFTERNOON (Sat-Sun, 12:30-6:00 PM)EVENINGS (Mon-Thur, 6:15-7:15 PM)
Parent/Guardian Name*

First NameLast Name
Email*
example@example.com
Phone Number*
Any additional comments or questions?
Should be Empty:

PRIVATE & SEMI PRIVATE SWIM LESSONS INQUIRY