1 on 1 Swimming Lesson Request Form
Thank you for choosing Hosford Swim School! To schedule 1 on 1 swimming lessons for your child, please fill out the form below and click "SUMBIT". We will contact you within two business days to finalize your registration.
Sign in to Google to save your progress. Learn more
Email *
Parent's Name *
Phone Number *
Child's Name *
Child's Age *
Skill Level *
Location Preference *
1st Choice - Session Dates *
1 on 1 Lessons are scheduled in two week sessions, Monday through Thursday for 30 minutes each day. Start time may vary depending on availability.
2nd Choice - Session Dates *
1 on 1 Lessons are scheduled in two week sessions, Monday through Thursday for 30 minutes each day. Start time may vary depending on availability.
Preferred Start Time (choose all that apply) *
1 on 1 Lessons are scheduled in two week sessions, Monday through Thursday for 30 minutes each day. Start time may vary depending on availability.
Required
Preferred Coach (choose all that apply)
Please include any other information that you feel will help us pair your child up with the proper coach.
Payment *
The payment of $265 for 1 on 1 Lessons with Hosford Swim School is due one week after registration is complete.
Required
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. Report Abuse - Terms of Service - Privacy Policy