Private / Semi-Private Lesson Request Form
Thank you for contacting the Triangle Aquatic Center regarding private/ semi-private swim lessons. In order to help us find the perfect instructor for you, please fill out all areas of the form below.
Our private lessons teach everything from beginning skills to advance techniques. Please be aware that private lesson requests can take up to 5 business days to process.48-hour notification is required to cancel a scheduled Private Lesson. ALL PRIVATE LESSONS MUST CHECK IN EACH TIME AT THE FRONT DESK TO RECEIVE YOUR CLASS CARD.
Swimmer's Name
*
First Name
Last Name
Gender
*
Male
Female
Age
*
Date of Birth
*
-
Month
-
Day
Year
Date Picker Icon
Date you wish lessons to begin
*
-
Month
-
Day
Year
Date Picker Icon
Preferred days for lessons (select one or multiple days):
*
Sunday
Monday
Tuesday
Wednesday
Thursday
Friday
Saturday
Preferred Lesson Times:
*
7am-12pm
12pm-4pm
4pm-6pm
6pm-9pm
First Choice
Second Choice
If the Dates/Times you selected are unavailable, are you flexible?
*
Yes
No
Other
Are you requesting a Private or Semi-Private Lesson?
*
Private
Semi-Private
Preferred Swim Instructor:
*
Male
Female
No Preference
Other
Previous swimming experience:
Example: Previous lessons, water safety training, etc
Goals you wish to accomplish during lessons
Contact Information
Name of Parent / Guardian (if applicable)
First Name
Last Name
Address
*
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
E-mail
*
example@example.com
Best phone number to contact you
*
-
Area Code
Phone Number
Thank you for creating this request. Please click the Submit button below and we will be back in touch with you shortly.
Submit
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