Garrett College CARC Private/Semi-Private Swim Lesson Request
Please complete in full to begin the lesson scheduling process. Questions can be directed to Rebekah Stuckey at Rebekah.stuckey@garrettcollege.edu or (301) 387-3788.
Name of Student *
Your answer
Date of Birth *
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Home Address *
Your answer
Phone Number (Day) *
Your answer
Email Address
Your answer
Available Days for Lessons *
Required
Available Times for Lessons *
Required
Instructor Preference (please note that specific requests may increase wait time) *
Are you interested in semi-private lessons? *
Names of students you wish to share lessons with:
Your answer
Please tell us more about the student:
Swimming experience:
Your answer
Goals for lesson
Your answer
Other helpful information for the instructor:
Your answer
If the student is under 18, please complete the following:
Parent/Guardian Name
Your answer
Today's Date
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DD
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YYYY
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