Private Lesson Registration

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Please fill out the form below to register for private lessons at our locations!

Are you a returning Hampton Aquatics participant? *

Yes

Email Address *

Parent/Guardian Full Name *

Phone Number *

Participants Full Name and DOB *

Medical Restrictions? *

Preferred Days/Times *

Preferred Lesson Length *

30 Min

45 Min

1 Hour

Other:

Preferred Location *

Battle Creek YMCA (182 Capital Ave NE., Battle Creek, MI 49017)

Oaklawn Fitness Center (13697 15 Mile Rd., Marshall, MI 49068)

Dr. Robert W. Browne Aquatic Center (250 Western Ave., Coldwater, MI 49036)

Questions, Comments, Concerns?

Submit

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