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Private Swim Lessons
Thank you for your interest in private swim lessons at the Newport Aquatic Center! Please fill out the information below and Keeley will contact you via email to register for lessons.

*******Please note that submitting this form does not guarantee registration. Registration is based on availability.*******

Keeley will email you with more information for the online scheduling system.

*****Information about private swim lessons*****

Private swim lessons are $15 for a 30 minute lesson and semi private lessons are $25 for a 30 minute lesson ($12.50 per child).

Email address *
Phone number *
Your answer
Mailing Address (Include City and Zip) *
Your answer
Parent/guardian full name *
Your answer
Swimmer's full name *
Your answer
Swimmer's age *
Your answer
Swimmer's Date of Birth *
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DD
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YYYY
Swimmer's previous swim lesson experience *
Your answer
Type of lesson interested in: *
Please list the days and times that you are available for lessons: *
Your answer
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