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Mobile Swim Lesson Interest
If you are interested in having our swim lessons offered to you at your residence while full operations are suspended, please fill out this form.
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Email
*
Your email
Are you a new or existing customer?
*
Existing Customer
New Customer
Parent's Name
*
Your answer
Street Address
*
Your answer
City/Town
Your answer
Zip Code
Your answer
Community or Subdivision
Your answer
Telephone Number
*
Your answer
Email address
*
Your answer
First Swimmer's Name
*
Your answer
Second Swimmer's Name
Your answer
Additional Swimmers
Your answer
Please select preferences. Schedules are yet to be determined and your preferences will be considered when schedules open.
*
Monday morning
Monday afternoon
Tuesday morning
Tuesday afternoon
Wednesday morning
Wednesday afternoon
Thursday morning
Thursday afternoon
Friday morning
Saturday morning
Sunday morning
Required
Questions or Comments?
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