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Private Swim Lessons Interest Form
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Parent/Guardian's Name
Your answer
Parent/Guardian's Email
Your answer
Parent/Guardian's Phone Number
Your answer
Child's Name
Your answer
Child's Age
Your answer
Level of Swimming Ability
Has done swim lessons before
Never done swim lessons before
Clear selection
What goal do you have for your child in the water (If you have one)?
Your answer
Request an Instructor
Alex
Julian
Jaime
Kevin
Aine
No Preference
Ideal Day of the Week
Monday
Tuesday
Wednesday
Thursday
Friday
Saturday
Sunday
Any Day
Clear selection
Ideal Time of Day
Your answer
Anything else we should know?
Your answer
Submit
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