Private/Semi-Private Swim Request Form - Lattof YMCA
Thank you for your interest in the Lattof YMCA Private/Semi-Private swim lesson program. This program is for participants ages 3 and up. Please visit us online for more information regarding our new program policies http://www.ymcachicago.org/lattof/programs/private-swim-lessons
Parent's Name *
Your answer
Phone Number *
Your answer
Email Address *
Your answer
#1 Participant's Name, Age, YMCA Member? *
e.g. John Smith, Age 3, YMCA Member
Your answer
#2 Participant's Name, Age, YMCA Member?
e.g. Jill Smith, Age 4, Non-Member
Your answer
#3 Participant's Name, Age, YMCA Member?
e.g. Jack Smith, Age 5, YMCA Member
Your answer
Days and Times Available
Monday
enter preferred time(s)
Your answer
Tuesday
enter preferred time(s)
Your answer
Wednesday
enter preferred time(s)
Your answer
Thursday
enter preferred time(s)
Your answer
Friday
enter preferred time(s)
Your answer
Saturday
enter preferred time(s)
Your answer
Sunday
enter preferred time(s)
Your answer
Lessons type
Private Lessons
Semi-Private Lessons (fees per person)
Questions?
Please contact Josh Martin, Aquatics Coordinator, at 847.410.5287 with any questions.
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