Complete this form in order to reserve space in a swim lesson session(s) or to join the swim team.

Please complete one form per swimmer applying for a space in group lessons.

See the lessons page on the club's website for full detail about dates, times, and policies:


Lesson spaces will be filled on a first-come first-confirmed basis with confirmations being emailed throughout May & June. Payment should be made at the club desk or electronically prior to the lesson week. Payment can be made on the first day, but expect to wait in line.

For Further information write to the Swim Club at ithacaswimclub@gmail.com or stop by the open house on June 9th, 12:00-7:00 pm.

Note that private lessons are also available to provide your swimmer with the greatest amount of 1:1 attention from an instructor.
Private lesson times can be arranged through the club desk during normal pool operating hours. Family members may swim, for the regular guest fee if non-club members, while a swimmer is in a private lesson time.
Parent Name(s) *
Your answer
Club member number or "non-member" *
Your answer
Parent email contact *
Your answer
Parent phone contact *
Your answer
Swimmer's name for lesson(s) *
Your answer
Swimmer's sex and/or gender
Swimmer's age *
Select year(s) this swimmer has participated in swim lessons before or "none". *
Does this swimmer have a particular special need that instructors should know about?
Your answer
Choose Lesson session(s) & level requested for this swimmer (lessons are M, Tu,W, & Th of each week offered, at 4 levels in each week; see Info sheet on club website for full details & policies.
Captionless Image
Non-Swimmer Level: space in Session 5 ONLY
Beginner Level: 10:45am - 11:15am
Intermediate/Advanced:wait-list only for week of July 8th, future weeks TBA
Session Two: July 8, 9, 10, 11
Session Three: July 15, 16, 17, 18
Session Four: July 22, 23, 24, 25
Session Five: July 29, 30, 31 & Aug 1st
Session Six: August 5, 6, 7, 8
NEW this year: Saturday only classes.
The Saturday classes be held on each Saturday during the entire 6 weeks, beginning July 6th (6 classes in total)

Parent & Me group class is for the swimmers who are under 4 years old and want to develop basic water skills. Parents will be in the water with their child.

Swim Team class is similar to the weekday class, but condensed and designed to be more of a clinic.

Diving Clinic will cover simple dives and flips, entering water from dives with good positioning and knowledge of middle/high school swim & dive team practices. --CLOSED! (this Saturday class is full and has been removed from the list of Saturday options to select below).
Saturday only class
Calculate the Fee Due, using this price list, and enter your amount owed under that question.
Weekday Swim Lessons are $25 per week for members and $40 per week for non-members.
Weekday Swim Team lessons are $50 for members and $120 for non-members, for the full 6-week season.
Saturday Swim Team lessons are free for members and $50 for non-members, for the full 6-week season.
Saturday Diving lessons are $50 for members and $120 for non-members, for the full 6-week season.
Saturday Parent & Me lessons are $50 for members and $120 for non-members, for the full 6-week season.
Payment Method- I would like to pay for this swimmer's lessons/team by: *
Amount owed- List your Fee Due at the club desk on This Swimmer Only. Note if you wait to pay the fee, you can expect to wait in line: *
Your answer
Never submit passwords through Google Forms.
This content is neither created nor endorsed by Google. Report Abuse - Terms of Service - Privacy Policy