Pinnacle Health and Fitness - The Swim Academy - Private Swim Lesson Requests
Availability for Private Lessons are limited at the following times due to our Group Lesson schedule:
Weekdays 4-7pm
Saturdays and Sundays 9am-12noon

If you are requesting private lessons during these busy times, please understand that we will make every effort to schedule you, but wait times may exceed several weeks.

Times outside this area are more readily available.

Membership is required for participants to be eligible for Private lessons. Please contact our Member Services department for details on Membership types and pricing. (908) 359-3600.

What type of swim lessons are you looking for? *
Semi private lesson requests will only be considered for children of the same age and skill level.
Parent/Guardian (Main Contact) First Name *
Your answer
Parent/Guardian (Main Contact) Last Name *
Your answer
Participants Name - #1 *
Your answer
Participants Age - #1 *
Your answer
Participants Name - #2
Your answer
Participants Age - #2
Your answer
Home Telephone Number *
Please use dashes
Your answer
Alternate Phone Number *
Please use dashes
Your answer
Email Address *
Your answer
Please complete the section below regarding your scheduling needs.
Please keep in mind, the more flexible your schedule is, the faster we will be able to fill your request!
First preference - What day works best for your schedule? *
First preference - What times are you available? *
Second preference - What day are you available? *
Second preference - What times are you available? *
Third preference - What day are you available?
Third preference - What is starting time of your availability?
What date would you like to start lessons
MM
/
DD
/
YYYY
Is the participant currently a Pinnacle Health & Fitness Member? *
Do You Have Any Special Requests?
If You Prefer Male/Female/Specific Instructor, Please List Them Here.
Your answer
Thank you for your interest in our private lessons! One of our instructors will be in contact as soon as possible.
Private lessons may have a waiting list/back log. Please be patient, as we will try our best to accommodate everyone.
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