Names and ages of children (Ex: Johnny-7, Lily-4) *
Your answer
What times of day work best for you? *
What days of the week are best for you? (Check all that apply) *
Required
Is there anything you would like us to consider when choosing your assigned lifeguard?
Your answer
Do you have any additional comments regarding your child's swim lessons?
Your answer
By checking this box, I understand that filling out this form does not guarantee or enroll my child in swim lessons. *
Required
By checking this box, I understand that swim lessons will not commence until I am contacted by a lifeguard, regardless of the preferred dates I provided above. *
Required
By checking this box, I understand I am not to pay for private lessons until I am contacted by my lifeguard. *