Swim Lessons Request

Private Swim Lessons Request
30-Minute Lessons:
Private: $50 member / $75 non-member
Semi-Private: $85 member / $95 non-member

45-Minute Lessons:
Private: $65 member / $80 non-member
Semi-Private: $90 member / $100 non-member

Please note: This form is a scheduling request only and does not guarantee a lesson reservation. Our team will follow up with you to confirm your preferred dates and times based on availability.
Name

First NameLast Name
Phone Number
Please enter a valid phone number.Format: (000) 000-0000.
Email
example@example.com
Child's Name

First NameLast Name
Child's Age and Birthdate
Please select your preferred private lesson type *Semi-private lessons are for 2 children registering together. The JCC does not match participants.*
Please select what day(s) and time(s) you prefer for you child's class?
Does your swimmer need any additional support or accommodations during lessons? If yes, please tell us more
Should be Empty:

Private Swim Lessons Request