Tiburon Swim Academy - Adult Swim Lesson Form
Thank you for your interest in swim lessons. Everyone is able to learn to swim, and this is your start! Our program is designed as an individual approach to get anyone to swim (even if you think you can't)!

Our adult lessons are 1 day per week at 45 minutes per lesson. Each lesson costs $65 (or $75 with Coach Adam). Lessons are to be paid upfront on the 1st of each month for all of the swim days in that month.

We require at least a 24 hour notice of cancellation in order to look at make up options. We can not guarantee a make up lesson.

Consistency is important when it comes to swim lessons, so showing up each lesson is key to learning how to swim!

Please fill out this form with as much information as possible. This helps us find you the correct instructor and help you achieve your goals. We have instructors for beginners, intermediate swimmers, and those advanced swimmers too!
Sign in to Google to save your progress. Learn more
Email *
First Name *
Last Name *
Phone Number *
Do you have any swim experience? *
What would you like to work on? *
Which days and times are you available? *
6:00 AM - 9:00 AM
9:00 AM - 12:00 PM
12:00 PM - 3:00 PM
3:00 PM - 5:00 PM
5:00 PM - 7:00 PM
N/A
Mondays
Tuesdays
Wednesdays
Thursdays
Fridays
Saturdays
Sundays
Have you taken lessons before? If so, how was your experience? *
Any other important information you would like to share regarding swim lessons?
A copy of your responses will be emailed to the address you provided.
Submit
Clear form
Never submit passwords through Google Forms.
reCAPTCHA
This content is neither created nor endorsed by Google. - Terms of Service - Privacy Policy

Does this form look suspicious? Report