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Member Private Lessons 2025
Your Falling Oaks 2025 membership must be submitted and paid for IN FULL prior to submitting this form.
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* Indicates required question
Email
*
Your email
Parent name
*
Your answer
Parent phone number
*
Your answer
Preferred method of contact
*
Email
Text
Number of lessons desired
*
3
5
10
Number of children in 30 minute lesson
*
1
2
3
Names and ages of children (Ex: Johnny-4, Lily-7)
*
Your answer
What time of day works best for you? (Check all that apply)
*
12pm-3pm
3pm-5pm
6pm-8pm
Any
Required
What days of the week are functional? (Check all that apply)
*
Monday
Tuesday
Wednesday
Thursday
Friday
Saturday
Sunday
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.
*
I understand
Required
By checking this box, I understand I am, not to pay for private lessons until I am contacted by my lifeguard.
*
I understand I am not to pay for private lessons until I am contacted by my lifeguard
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.
*
I understand
Required
By checking this box I am confirming that my membership to Falling Oaks for summer 2023 is SUBMITTED AND PAID IN FULL.
*
Yes, my membership to Falling Oaks for Summer 2023 is both submitted and paid in full.
Required
By checking this box, I understand that I will be removed from this list if my membership is not submitted and paid for in full PRIOR to submitting this form.
*
I understand
Required
Send me a copy of my responses.
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