SJAC Swim School Evaluation Sign-up
Register to schedule an evaluation with SJAC Swim School. Please provide your details so we can contact you via email and confirm your appointment.
Parent/Guardian Full Name
*
First Name
Last Name
Parent/Guardian Email Address
*
example@example.com
Parent/Guardian Phone Number
*
Please enter a valid phone number.
Format: (000) 000-0000.
Number of Evaluation Participants
*
Select the number of participants for evaluation
Participant's Full Name
*
First Name
Last Name
Participant's Age
*
Participant 2's Full Name
*
First Name
Last Name
Participant 2's Age
*
Participant 3's Full Name
*
First Name
Last Name
Participant 3's Age
*
Preferred Evaluation Date and Time Options
*
Goal of Evaluation (Please select all that apply)
*
Group Lessons
Private Lessons
Swim Team
Other
Please specify if Other
Does the participant have prior swim experience?
*
Yes
No
Additional Notes (optional)
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