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~Private Lessons Request Form~
-30 minute Private Lessons begin at $35 per lesson.
-Once the form is complete, you will be contacted by an instructor to schedule your Private Lessons directly.
-There is not minimum number of lesson required.
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Membership Number
*
Your answer
Name of Parent
*
Your answer
Email
*
Your answer
Phone
*
Your answer
Name of Swimmer
*
Your answer
Age
*
Your answer
Gender
*
Female
Male
Prefer not to say
Instructor Preference (specific instructor or Male/Female)
Your answer
Description of Lesson Goals
Your answer
Available date and times
*
Morning
Afternoon
Evening
Sunday
Monday
Tuesday
Wednesday
Thursday
Friday
Saturday
Morning
Afternoon
Evening
Sunday
Monday
Tuesday
Wednesday
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Friday
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