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Summer
Private & Semi-Private Swim Lesson Interest Form
Please fill out the form in its entirety for
each individual
interested in private or semi-private swim lessons.
This season of lessons begins Monday June 12th.
There will be no lessons July 2nd, 3rd, or 4th.
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* Indicates required question
Swimmer's Name
*
Your answer
Swimmer's Age
*
Your answer
Choose the answer that best describes your swimmer's
current swimming ability
*
1- The swimmer is still becoming comfortable putting their head in the water
2- The swimmer is comfortable putting their head in the water, but is not able to swim independently yet
3- The swimmer is able to swim a very short distance (about 5 feet) but has not been introduced to formal swim strokes yet
4- The swimmer is able to swim independently but is just beginning to become familiar with formal strokes
5- The swimmer is just beginning to swim in the lap pool
6- The swimmer is comfortable swimming laps independently and we're looking for formal technique
7- An adult swimmer beginning to learn to swim.
8- An adult swimmer looking to improve technique
Parent/Guardian Name
Your answer
Email
**This email will be used to communicate lesson times and updates
*
Your answer
Phone Number
**This phone number may be used to communicate lesson times and updates
*
Your answer
Is the swimmer a member of Liberty Athletic Club?
*
Yes, the swimmer is a member at Liberty Athletic Club
No, the swimmer would be joining swim lessons as a nonmember
How often are you interested in having lessons?
*
Weekly recurring lessons
Single Lessons (not weekly recurring lessons, but lessons when instructors have extra availability or a cancellation)
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