Private Swim Lessons
Please send a request through this form and someone from the aquatics department will reach out to you let you know if we have time, space and a swim instructor available.


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电子邮件地址 *
Parent's Name *
Primary Phone Number *
Address, City, State, Zip Code *
Parent's Email Address *
Child's Name *
Child's Date of Birth *
年
/
月
/
日
Child's Age *
Gender *
If you are planning on doing a semi private lesson, Please leave the name of second child, Age, birth date: 
 
Are you a member? *
Member Number
Days you prefer *
必填
Time of Day you would prefer *
必填
How Many lessons are you looking for?
What swimming ability does your child have? What are you looking out of this lesson?  *
Is there anything else we need to know about your child:
By submitting this form, I agree to the terms and conditions of the Membership Agreement and Policies available at: https://bit.ly/MembAgmt and https://bit.ly/RefundWaiverPolicy. *
必填
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