iSwim Academy 2026 Home Lessons Schedule/Data Form
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        HOME LESSON INFO
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Email *
Full name of parent/guardian *
Mobile phone number *
Home Address *
Address of pool if different from home address
Full name of Child/Children *
Child/Children Date of birth (MM/DD/YYYY) *
Lessons will take place at: *
Our program consists of 4 consecutive days of lessons (Mon-Thurs for 2 weeks)
Lessons are about 30 minutes long.
Lessons occur at the same time every day.

Available times for scheduling  9:00AM-7:00PM.

More Information: 

**Indicate preferred or available time frame(s) for lessons: e.g. 9:00-12:00 PM 2:00-4:00 PM etc.

*
Indicate available weeks *
Required
How did you hear about iSwim Academy?
Let us know any concerns or specific needs for your child. Anything you would like us to keep in mind?
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