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Private and Semi-Private Swim Lessons Application
You will be contacted as soon as we are able to staff the private lessons
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* Indicates required question
Name of Student (First and Last)
*
Your answer
Age of Student
*
Your answer
Parent or Guardian's Name (First and Last)
*
Your answer
Parent/Guardian Email
*
Your answer
Parent/Guardian Phone Number
*
Your answer
Has your child ever taken swim lessons before (including at a different facility)?
*
Yes
No
Does your child have fears of being in or around water?
*
Your answer
What are the main objectives for your child during these private lessons? (please list at least one)
*
Your answer
Please select one of the following:
*
Private 1 session - $45
Private 3 sessions - $120
Private 5 sessions - $190
Private 10 sessions - $280
Semi-Private 1 session - $25 per student
Semi-Private 3 sessions - $60 per student
Semi-Private 5 sessions - $90 per student
Semi-Private 10 sessions - $170 per student
Required
Lesson request day(s)
*
Monday
Tuesday
Wednesday
Thursday
Friday
Saturday
Required
Lesson request times
*
Your answer
Instructor (if you have a preference)
Your answer
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