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Swim Lesson Evaluation Request Form
Please fill out the following form to help us assess your child's current swimming abilities. This will ensure that you register them for the correct swim lesson level.
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* Indicates required question
Swimmer(s) Name(s)
*
Your answer
Swimmer(s) Age(s)
*
Your answer
Parent/Guardian Name
Your answer
Email Address
*
Your answer
Phone Number
*
Your answer
Please list any previous swim Experience
*
Your answer
Preferred Day(s)
*
Monday
Tuesday
Wednesday
Thursday
Friday
Saturday
Sunday
Doesn't Matter
Required
Preferred Time(s)
*
Morning
Afternoon
After School
Evening
Other:
Required
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