JW Lessons Wait-list Sign Up

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Parent/Guardian Name *

Parent/Guardian Phone *

Parent/Guardian E-mail *

Number of children for lessons *

Please list ages of children for lessons *

Are you looking for Infant Parent & Me, Private Lessons or Little Fins *

Check all that apply

Infant Parent & Me

Private Lessons

Little Fins

Required

Please select Session(s) you are interested in signing up *

Fall (Sep-Dec) Session

Winter (Jan-April) Session

Spring (May-June) Session

Summer (July-Aug)

Required

Preferred Day for Lessons *

Monday

Tuesday

Wednesday

Thursday

Friday

Saturday

Sunday

Preffered Day

Preferred Time for lesson *

(Saturday's & Sunday's are only available from 10:00am - 5:30pm)

9am - 12pm

12pm - 3pm

3pm - 4pm

4pm - 6pm

6pm - 8pm

Anytime

Preferred Time

Comment:

Type in a 2nd choice for day if one is available or other comments regarding availability

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