Private Lesson Request

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Please, note that we cannot guarantee that we will find a private instructor for you. This form is reviewed by our instructors and they will respond according to their schedule and the level that they feel most comfortable teaching. Once an instructor has contacted you, it will be up to you to pay the instructor and schedule a lesson. If you cancel on an instructor, it is customary to still pay them for their time.

Email *

Parent's Name: *

Parent's Phone number: *

Student's first name:

Student's or students' age/ages: *

Student's skill level (Best guess): *

Preschool

Level 1 (new to the water)

Level 2 (can make forward movement independently, roll over unto back, completely submerge)

Level 3 (can swim freestyle, needs to learn other advance strokes and endurance)

Other (See below)

Required

Other: Student has a specific skill they want to learn, ie diving, turns, backstroke start, etc.

Any of information such as preferred times of day, etc.

A copy of your responses will be emailed to the address you provided.

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