Swim Lesson Inquiry Form 🏊♂️🤝
Thank you for your interest in Kittelson Swim School. Please complete this form so we can learn more about your child, preferred location, availability, and how you would like us to follow up.
Parent/Guardian Information
Parent/Guardian Full Name
*
First Name
Last Name
Parent/Guardian Phone Number
*
Please enter a valid phone number.
Format: (000) 000-0000.
Parent/Guardian Email Address
*
example@example.com
Best way to contact you
*
Text message
Phone call
Email
No preference
Would you like to request a phone call?
*
Yes
No
Student Information
If yes, best time for a phone call
Please Select
Morning
Afternoon
Evening
Weekend
Other
Child/Student Full Name
*
First Name
Last Name
Child/Student Age
*
How many children are you interested in enrolling?
*
Location and Lesson Interest
Additional children names and ages
Preferred swim lesson location or locations
*
Mukwonago
Delafield
Middleton
Fort Atkinson
Open to multiple locations
Preferred lesson type
*
Group lessons
Private lessons
Semi-private lessons
Not sure yet
Current swim ability/comfort level
*
Brand new to swim lessons
Nervous or fearful in the water
Comfortable in water but beginner skills
Can swim short distances independently
Advanced swimmer looking to improve technique
Not sure
Type a question
Type option 1
Type option 2
Type option 3
Type option 4
Availability
What goals do you have for swim lessons?
Any medical, sensory, behavioral, learning, or safety considerations we should know about? (Please share anything that will help us support your child.)
Follow-Up
Preferred days/times
*
Weekday afternoons
Weekday evenings
Sunday
Flexible
Other
Are you looking to start as soon as possible or join a future session?
*
As soon as possible
Future session
Just gathering information
How did you hear about us?
Facebook/social media
Google/search engine
Referral from current family
Flyer/poster
Local business
Event/expo
Other
Follow-up questions or anything else you would like us to know
Submit Inquiry
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