Parent/Guardian Name (if different than swimmer) *
Your answer
Contact information (phone number) *
Your answer
Number of swimmers *
Required
Swimmer name(s)
Your answer
Ages of swimmer(s) *
Required
General level of swimmer(s) *
Required
Session dates (please click on all sessions that would work for you; we will confirm the final dates/times) *
Required
Preferred times (please indicate which times of day work for you; we will confirm the final days/times considering pool location and schedule constraints) *
Your answer
Location of pool (please indicate the name and/or address of the pool where you would like to have your lessons). *