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 Name
Last Name
Participant Age
*
Instructor Preference
Swim Ability (check off all that apply)
*
New to swimming
Can swim Free Style
Can swim half a length
Can swim Breast Stroke
Can swim a full length
Can Swim Back Stroke
Can put their face in the water
Can swim Butterfly
Can swim with side breathing
Can float on their front
Can float on their back
Days Availability - (Sat/Sun mornings unavailable)
*
MONDAY
WEDNESDAY
THURSDAY
FRIDAY
SATURDAY
SUNDAY
Times Availability - (Sat/Sun mornings unavailable)
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 Name
Last Name
Email
*
example@example.com
Phone Number
*
Format: 000-000-0000.
Any additional comments or questions?
Submit
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