• Private/Semi-Private Swim Lesson Enrollment Request Form

  • Member Pricing

    • 15-minute Private Lessons: $32/lesson
    • 30-minute Private Lessons: $42/lesson
    • 30-minute Semi-Private Lessons: $32/lesson/swimmer

    Non-Member Pricing

    • 15-minute Private Lessons: $47/lesson
    • 30-minute Private Lessons: $62/lesson
    • 30-minute Semi-Private Lessons: $47/lesson/swimmer
  •  -
  • Do you have a HAC JackRabbit Account?*
  • New this year: Parents MUST have a HAC JackRabbit account with an up-to-date credit or debit card on file to register for swim lessons. Click here to create a JackRabbit Account

  • Today's Date - DO NOT EDIT
     - -
    2 digit month, 2 digit day, 4 digit year
  • Add Your Swimmer's Information

  • Swimmer's Birthday*
     - -
    2 digit month, 2 digit day, 4 digit year
  • Swimmer's HAC Membership Status*
  • Has he or she enrolled in HAC swim lessons before?*
  • This swimmer can*
  • What type of lessons are you interested in?*
  • Lessons are being offered during these days/times:

    • Mondays (5:00 pm - 8:00 pm)
    • Tuesdays (3꞉50 pm - 8:00 pm)
    • Wednesdays (4:00 pm - 8:00 pm)
    • Thursdays (1꞉50 pm - 8:00 pm)
    • Fridays (10꞉25 am - 7:00 pm)
    • Saturdays (8꞉25 am - 3:00 pm)
  • In order of preference, please let us know what days/times you would be available to schedule lessons.*
    Rows
  • Session Selection

  • 4-Week Sessions (select all sessions for which you wish to enroll)
    Rows
  • 2-Week Session (select only if you wish to enroll)
    Rows
  • Please proceed to the next page to enter enrollment info for another child.
     

  • Add Your Second Swimmer's Information

  • Swimmer's Birthday*
     - -
    2 digit month, 2 digit day, 4 digit year
  • Swimmer's membership status*
  • Has he or she enrolled in HAC swim lessons before?*
  • This swimmer can*
  • What type of lessons are you interested in?*
  • Lessons are being offered during these days/times:

    • Mondays (5:00 pm - 8:00 pm)
    • Tuesdays (3꞉50 pm - 8:00 pm)
    • Wednesdays (4:00 pm - 8:00 pm)
    • Thursdays (1꞉50 pm - 8:00 pm)
    • Fridays (10꞉25 am - 7:00 pm)
    • Saturdays (8꞉25 am - 3:00 pm)
  • In order of preference, please let us know what days/times you would be available to schedule lessons.*
    Rows
  • Session Selection

  • 4-Week Sessions (select all sessions for which you wish to enroll)
    Rows
  • 2-Week Session (select only if you wish to enroll)
    Rows
  • Please proceed to the next page to enter enrollment info for another child.
     

  • Add Your Third Swimmer's Information

  • Swimmer's Birthday*
     - -
    2 digit month, 2 digit day, 4 digit year
  • Swimmer's membership status*
  • Has he or she enrolled in HAC swim lessons before?*
  • This swimmer can*
  • What type of lessons are you interested in?*
  • Lessons are being offered during these days/times:

    • Mondays (5:00 pm - 8:00 pm)
    • Tuesdays (3꞉50 pm - 8:00 pm)
    • Wednesdays (4:00 pm - 8:00 pm)
    • Thursdays (1꞉50 pm - 8:00 pm)
    • Fridays (10꞉25 am - 7:00 pm)
    • Saturdays (8꞉25 am - 3:00 pm)
  • In order of preference, please let us know what days/times you would be available to schedule lessons.*
    Rows
  • Session Selection

  • 4-Week Sessions (select all sessions for which you wish to enroll)
    Rows
  • 2-Week Session (select only if you wish to enroll)
    Rows
  • Please proceed to the next page to enter enrollment info for another child.
     

  • Add Your Fourth Swimmer's Information

  • Swimmer's Birthday*
     - -
    2 digit month, 2 digit day, 4 digit year
  • Swimmer's membership status*
  • Has he or she enrolled in HAC swim lessons before?*
  • What type of lessons are you interested in?*
  • This swimmer can*
  • Lessons are being offered during these days/times:

    • Mondays (5:00 pm - 8:00 pm)
    • Tuesdays (3꞉50 pm - 8:00 pm)
    • Wednesdays (4:00 pm - 8:00 pm)
    • Thursdays (1꞉50 pm - 8:00 pm)
    • Fridays (10꞉25 am - 7:00 pm)
    • Saturdays (8꞉25 am - 3:00 pm)
  • In order of preference, please let us know what days/times you would be available to schedule lessons.*
    Rows
  • Session Selection

  • 4-Week Sessions (select all sessions for which you wish to enroll)
    Rows
  • 2-Week Session (select only if you wish to enroll)
    Rows
  • Should be Empty: