Splash! Private & Semi-Private Requests

JavaScript isn't enabled in your browser, so this file can't be opened. Enable and reload.

Please take some time to fill out the information below on your availability.

Note that it may take considerable time to schedule a time for private lessons, especially during the school year. If your scheduling availability is limited, we may be unable schedule a private lesson.

Remember: our group classes have a maximum of 4 students, and they serve the needs of most swim students quite well, so please give them a try if you haven't yet!

Email *

Parent Name (First & Last)

Phone Number

Best way to contact you

Call

Clear selection

I am currently, or have previously been a member at SPLASH!

Yes

I'm not sure

Clear selection

I am interested in:

Private Lessons (1:1 student to teacher)

Semi-Private Lessons (2:1 student to teacher)

Semi-Private Lessons (3:1 student to teacher)

Age of Child (Children)

Briefly tell us why you are interested in Private Lessons

Availability (Please select all that apply)

Morning (8:00am - 12:30pm)

Early Afternoon (12:30pm - 2:30pm)

Afternoon (2:30pm - 4:30pm)

Evening (4:30pm - 7:30pm)

Monday

Tuesday

Wednesday

Thursday

Friday

Saturday

Sunday

Notes/Comments

Submit

Clear form

Never submit passwords through Google Forms.

This form was created inside of Splash!.

Does this form look suspicious? Report

Forms