Villa Aquatic Private Lessons Interest Form

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Villa Aquatic Private Lessons Interest Form - 2024

Please fill out this form to register for the aquatic private lessons. When submitting this form, you will be put on a "wait list" and from there, an instructor will contact you to schedule lessons!

Please do not fill out this form more than once for a singular child.

Parent Name *

Phone Number *

Email *

Child Name

Pool Status *

Member ($20/30 minute lesson)

Non-member ($25/30 minute lesson)

Child's Swimming Experience *

Never had any swim lessons

Has had swim lessons

How will you pay - please select all you are able to do (some instructors are not able to accept some methods)
*

Cash

Check

Venmo

Required

Important Notes Information

Submit

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