Black Oak Swim Lessons

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Please complete the following form

Email *

Parent's Name *

Parent's Phone Number *

Are you a member of Black Oak Swim Club? *

Yes

Child's Name (Please complete a separate form for each child) *

Child's Age Group *

5 and under

6 and older

Which session are you interested in? *

Session 1 (June 10- June 21)

Session 2 (July 9- July 19)

Both

Has your child taken swim lessons before? *

Yes

Are you interested in private lessons? *

Yes

What are some important skills you would like the instructor to focus on during the lesson? *

Is there any additional information you would like for us to know about your child? (fears, allergies, etc) *

Submit

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