Private Swim Lesson Request Form
Thank you for filling out an inquiry form regarding private swim lessons at Kroc Greenville. Please allow one week for our team to get in touch with you after submitting this form.
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Name of Swimmer: *
If the swimmer is a minor, please provide the adult's name:
Age of Participant: *
What is the participant's current swim level? *
If requesting multiple participants during one lesson, all swimmers must be of a similar swimming ability. Please note if you are adding a 2nd or 3rd participant. *
When do you prefer to take swim lessons? Please select all dates and times. *
Instructor Referral or Instructor Preference
Please provide your name, e-mail and phone number. We will be in touch soon! *
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