Pitt-Johnstown Swim Lesson Interest Form

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This form will collect information needed to gauge interest in Pitt-Johnstown Swim Lessons and our capacity to deliver lessons. Once we have determined needs and our ability to deliver, we will reach out to you with our offerings.

Please fill out one form per participant

Email *

First Name *

Last Name *

Phone Number *

Participant’s Name *

What type of lesson are you interested in? *

Parent/Child (Ages 6 months to 2 years)

Pre K (Ages 3-4)

School Age ( Ages 5+)

Private 1 on 1 lessons

Faith-based swim lessons

Competitive swim coaching (individual or small group)

Required

The participant… *

CAN swim without assistance or floatation devices

CANNOT swim without assistance or floatation devices

What do you value most in swim lessons? *

Becoming safe around water

Competency

Group Interaction

Fun

Other:

Required

Submit

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