Private Swim Lesson Interest Form

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Thank you for your interest in Private Swim Lessons!
Private lessons are not taught during any scheduled group swim lessons. Please allow 72 hours from initial form submission to receive a response. Lesson starts dates should not be less than one week out from request. In the event that there is a large number of requests you may be placed on a waiting list.

Contact Name *

Email *

Phone Number *

Participant Name *

Participant Age *

Ability of Participant *

Private or Semi-Private*

Semi-Private lessons will be an additional $5 per lesson. We suggest both participants be roughly the same ability level.

How many lessons are you interested in? *

1 Lesson

4 Lesson

6 Lesson

Preferred Date to Begin Lessons (please allow at least two weeks before you expect lessons to begin) *

3 Preferences: Days & Times (must submit more then one date or request cannot be sent to instructors) *

Comments or Questions?

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