Due to high volume demand it will take longer than normal for an instructor to contact you. Please allow about 1-2 weeks for a response.

Private Swim Lessons Sign-up Form

Private swimming lessons are another opportunity for students age 4 years and older to improve their swimming skills. Those who have trouble in group settings, and older non-swimmers, will benefit especially. Lessons are one-half hour long and are scheduled directly with the instructor. Children, teens, and adults are welcome to enroll. You may take as many lessons as you choose. You will be assigned an instructor who will call or email you within one week of completing this sign-up form to set up a time for your first lesson.

"*" indicates required fields

Name of Swimmer*

First Last

Address*

Street Address Address Line 2 City State ZIP Code

Email*

Phone

Age (4+)

Name of Parents (If Swimmer is a Child)

First Last

When is the best day and time to schedule a lesson?*

Do you have a preference for an instructor?

Swimming Ability?

None

Limited

Fearful

Stroke Improvement

Name

This field is for validation purposes and should be left unchanged.