Private Lesson Request Form
Please complete the following so that we can look for openings that might fight your schedule and availability. Getting on the waitlist for private lessons does not guarantee a timeline to begin lessons or a day/ time slot.
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Parent/ Guardian Name *
Email Address *
Telephone Number *
Swimmer's Name *
Swimmer's Birthday *
MM
/
DD
/
YYYY
When would you like to begin lessons? *
How often would you like your swimmer to attend lessons? *
How long would you like each swim session? *
If we cannot regularly scheduled lessons, are you also interested in drop-in lessons as we have openings pop up? This could be with various instructors and days/ times could rotate. *
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