Private Swim Lesson Request Form
Please fill out the information below and we will have an instructor contact you to schedule your lessons. 
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Child's Name and Age *
Last known swim lesson level taken.  *
Parents Name / Phone Number / Email *
Preferred Time (11:30 - 1 p.m. / 5 - 7 p.m.) and Week.
This Request will be Fulfilled this Summer of 2023.  *
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