Fall Private & Semi-Private Swim Lesson Registration Form

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Fall Private & Semi-Private Swim Lesson Registration Form

Please fill out the form in its entirety for each individual interested in private or semi-private swim lessons.

REGISTRATION IS NOW AT CAPACITY, ANY ADDITIONAL SUBMISSIONS WILL BE ADDED TO THE WAITLIST

Swimmer's Name *

Swimmer's Age *

Choose the answer that best describes your swimmer's current swimming ability *

1- The swimmer is still becoming comfortable putting their head in the water

2- The swimmer is comfortable putting their head in the water, but is not able to swim independently yet

3- The swimmer is able to swim a very short distance (about 5 feet) but has not been introduced to formal swim strokes yet

4- The swimmer is able to swim independently but is just beginning to become familiar with formal strokes

5- The swimmer is just beginning to swim in the lap pool

6- The swimmer is comfortable swimming laps independently and we're looking for formal technique

Parent/Guardian Name

**This email will be used to communicate lesson times and updates

Phone Number

**This phone number may be used to communicate lesson times and updates

Is the swimmer a member of Liberty Athletic Club? *

Yes, the swimmer is a member at Liberty Athletic Club

No, the swimmer would be joining swim lessons as a nonmember

How often are you interested in having lessons? *

Weekly recurring lessons (Sep. 19- Dec. 18)

Single Lessons (not weekly recurring lessons, but lessons when instructors have extra availability or a cancellation)

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