Private Swim Lesson Registration Form

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Private Swim Lesson Registration Form

We are so glad you're here! In order to best serve you, please fill out the form below.

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* Indicates required question

Full Name: *

Your answer

Phone Number: *

Your answer

Email Address: *

Your answer

Student(s) name: *

Your answer

Student(s) Age:

Your answer

Which lesson setting would you prefer? *

1 instructor with 1 student

1 instructor with 2 students

1 instructor with 3-4 students

Do you have a pool you are able to use? *

Yes

No

If not, please choose one of our pool locations:

Richmond

Sugar Land

Missouri City

Clear selection

What is your goal for your swim lessons? *

Your answer

Any questions?

Your answer

Submit

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