Idaho State University, Private Swim Lessons Intake Form
One-on-one instruction available for all ages and abilities.
Private instruction is based on instructor availability.
Private lessons are arranged between instructor and student and typically held during combo swim hours.
Please complete this form, and if an instructor is available, he or she will contact you.
Parent/Guardian Name (if student is a child)
Age of Participant (if adult, write ADULT)
Preferred Contact Method
Type of Lesson Requested
Private, 30 minutes ($15)
Private, one hour ($30)
Semi-private, 30 minutes ($15)
Semi-private, 60 minutes ($30)
Level of Swimmer
When are you available? What times and days do you prefer?
When would you like to start your lessons?
How often and for how long would you like to take private lessons? Do you want to meet once weekly, twice weekly, or more?
Do you want to take regular lessons for an extended period of time, or are you looking for a few lessons?
What is your goal? What do you wish to get from your swim lessons?
Do you have a preference on instructor (requesting a specific person) or instructor gender?
Would you like to receive information about our children's small group lessons?
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