Kroehler Family YMCA: Private Swim Lesson Request Form (Winter/Spring 2019 )
Thank you for your interest in Private Swim Lessons at the Kroehler Family YMCA!
We have created this form to assist us to best place you/your child in our program! Please note that this form is a request form ONLY. Filling out this form does not guarantee placement or class time until you have been contacted by the Aquatics Director via email.
Payments: Members will be drafted on next draft date, community participants need to pay in full prior to first lesson.
We are currently accepting requests for lessons that will be place during our Winter / Spring sessions starting anytime after January 7, 2019 and ending before Memorial Day 2019. Scheduling will take place on a first come, first served basis. The more flexible you are in scheduling & instructor preference the quicker you will be placed. Once you submit your request we will contact you, by email, within 5 business days to inform you of your progress on the wait-list.

Private Lessons 3 lessons @ 30 minutes each $105 member/$168 community participant
Private Lessons 5 lessons @ 30 minutes each $150 member/$240 community participant
Private Lessons 7 lessons @ 30 minutes each $175 member/$280 community participant
Private Lessons 9 lessons @ 30 minutes each $225 member/$360 community participant
Semi Private Lessons 3 lessons @ 30 minutes each $120 member/$210 community participant
Semi Private Lessons 5 lessons @ 30 minutes each $175 member/$325 community participant
Semi Private Lessons 7 lessons @ 30 minutes each $210 member/$420 community participant
Semi Private Lessons 9 lessons @ 30 minutes each $270 member/$540 community participant

Adaptive Private Lessons are reserved for Children / Adults who can not safely participate in group lessons. Our criteria for these lessons that the children are not in a mainstream classroom in school. Children with ADHD who are in a regular classroom at school do not qualify for Adaptive Swim Lessons. Enrollment in these lessons must be approved by Aquatics Director.
Adaptive Lessons 3 lessons @ 30 minutes each $42 member/$72 community participant
Adaptive Lessons 5 lessons @ 30 minutes each $70 member/$120 community participant
Adaptive Lessons 7 lessons @ 30 minutes each $98 member/$168 community participant
Adaptive Lessons 9 lessons @ 30 minutes each $126 member/$216 community participant


Should you have any questions in the mean time, please feel free to reach us via email at tgray@ymcachicago.org
Thank you!
Tracy Gray
Aquatics Director, Kroehler Family YMCA
https://tinyurl.com/2019w-sprivates

Participants name or names *
Your answer
YMCA Private Swim Lesson Policy * *
To cancel a lesson, participants must contact the Director (tgray@ymcachicago.org) or their instructor and cancel at least 4 hours prior to the lesson, or THEY WILL BE CHARGED ONE LESSON.
Required
Email Address *
Your answer
Phone Number *
Your answer
Member Status (both participants must be members to receive member rate) *
Required
Age of participant *
Required
What is your swimmer's current swimming ability? *
Which type of lesson are you interested in? *
How many lessons are you interested in purchasing? *
Required
What is the swimmer's availability? *
Please check as many choices as work for your schedule. The more flexible you are the quicker you will be placed with an instructor.
Required
Do you have any special requests?
If you want a specific instructor please put the request here. If you child has any special need please explain here.
Your answer
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