Black Oak Swim Lessons
Please complete the following form
Email address *
Parent's Name *
Your answer
Parent's Phone Number *
Your answer
Are you a member of Black Oak Swim Club? *
Child's Name (Please complete a separate form for each child) *
Your answer
Child's Age Group *
Which session are you interested in? *
Has your child taken swim lessons before? *
Are you interested in private lessons? *
What are some important skills you would like the instructor to focus on during the lesson? *
Your answer
Is there any additional information you would like for us to know about your child? (fears, allergies, etc) *
Your answer
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