Private Lesson Request Form
Thank you for considering Hartland Aquatice Center for private lessons. Private lessons provided for those with special needs, adults, those training for a triathlon and competitive swimmers currently on a swim team. Due to the limited amount of pool time, we must reserve this service based on greatest need. Please expect a response within a few days. If you have further questions or if you would like more information on programs at the pool, please visit our website at www.hartlandschools.us/Community/Aquatic-Center or call 810-626-2279.
Email address *
Participant's name *
Your answer
Participant's age *
Your answer
Parent's Name if participant is a minor
Your answer
Phone Number
Your answer
Address
Your answer
Previous private or group lesson?
If yes, where?
Your answer
What do you hope to accomplish during private lessons?
Your answer
Does the participant have special needs or disabilities we should be aware of?
Your answer
Medical conditions?
Your answer
Does the participant take medications? If yes, please list.
Your answer
Instructor request?
Your answer
What time/day are you available?
Your answer
Private lessons are arranged by mutual agreement between students and HCAC private lesson instructor. 24-hour notice must be given for cancellations. Tardiness or missed lessons will not be made up, unless extenuating circumstances prevail as determined by the instructor. To cancel lessons, call the pool 810.626.2279. Occasionally it may be necessary to change the lesson schedule to accommodate changes in pool scheduling. Lessons begin promptly on schedule. In case you arrive late, the instructor will wait ten minutes, after which they may leave. If you are late, and the instructor is at the pool and available, you are entitled to your remaining lesson time. You will be charged for the full lesson. You must sign in for private lessons. Parents must remain during the lesson. This is an important safety issue when lifeguards are not present and affords you the opportunity to see your student's progress. I, for myself, my heirs and assigns, hereby release Hartland Community Aquatic and Fitness Center (its employees and owners), from any claims, demand and causes arising from my participation in the exercise programs. I fully understand that I may injure myself as a result of my participation in exercise programs and hereby release the Hartland Community Aquatic and Fitness Center from any liability now or in the future. I understand that private lessons are arranged by mutual agreement of instructor and student. *
Submit
Never submit passwords through Google Forms.
This form was created inside of Hartlandschools.us. Report Abuse - Terms of Service