Swim Lessons Registration

Private & Semi Private Lessons
Private & Semi-Private Swim Lessons Now Available

American Family Fitness offers private & semi-private swim lessons to learners of all ages, at all locations. We have clients from 9 months to 90 years old; it is never too early or late to learn!

Whether you want to improve your stroke techniques, or are new to swimming, our skilled instructors will help you accomplish your goals. With flexible scheduling, now is the perfect time to make a splash.

Private and semi-private swim lessons are available to Members and Non-Members.
Private & Semi Private Lesson(s) Fee Schedule
*Semi-Private lessons are limited to two participants per session and must be from the same family.

Registration Information
To register for Private and/or Semi-Private swim lessons, please complete the registration form below and review and agree to our guidelines and Participant Code of Conduct created to ensure the safety of all participants, members and staff.
Club: *
Please select the club where you would like to register for swim lessons
Student Name: *

First Name Last Name
Age of Student *
Parent/Guardian Name: *

First Name Last Name
Are you a member of American Family Fitness? *

Yes No
Please enter your Member #
(Located on your key tag):
Contact Number: *

Area Code Phone Number
E-mail Address: *
Address:

Street Address

Street Address Line 2

City State / Province

Postal / Zip Code
Do you have another child from the same family you wish to register for lessons? *

Yes No
Student Name:

First Name Last Name
Age of Student *

Guidelines, Policies & Participant Code of Conduct
Upon registering for private/semi-private swim lessons, I acknowledge and understand that in accordance with the Commonwealth of Virginia’s Safer at Home Phase Three Guidelines for Business Sectors and any future revisions to the state requirements, I agree to the following guidelines and Participant Code of Conduct below:

GUIDELINES
- Participants and anyone accompanying participants must all be on the membership and 24 months and older
- Payment information required during online registration or via phone. No in-person registration or payment is permitted
- Receipt of payment is to be taken to the instructor at 1st appointment
  Lessons are 30 minutes each (children and adults)
- Semi-Private lessons are limited to two participants from the same family.
- Two (2) lessons can be scheduled back-to-back (same family) totaling an hour
- 24-hour notice is required to cancel or reschedule
- Payment will be forfeited for classes that are missed without 24-hour notice
- Payments are non-refundable; Lessons expire six (6) months from the date of 1st lesson
- Physical distancing will be practiced; however, some assistance may be essential for safety measures
- Face shields for Instructors will be available for use as needed
- Face masks will not be allowed in the water due to CDC guidelines
- Parent(s)/Guardian(s) are welcome to accompany participant(s) during instructor-led lessons. The instructor may recommend parent/guardian accompany the participant in water for a weak and/or a non-swimmer
- The instructor will be in the water during all lessons with the exception of lessons for the advanced swimmer(s)
- Parent(s)/Guardian(s) watching lessons from the pool deck will be required to wear face masks at all times
- Non-member Parent(s)/Guardian(s) of swim participants are required to remain in the pool area during the entire lesson(s)
- No one will be allowed to remain and congregate in the pool and/or pool area at the conclusion of lessons
PARTICIPANT CODE OF CONDUCT
(The Guidelines above & the Code of Conduct below applies for each and every visit)
- Participant or Parent/Guardian is not experiencing a fever (100.4 degrees Fahrenheit or higher) or a sense of having a fever
- Participant or Parent/Guardian does not have a new cough, no new shortness of breath, no new chills, or new sore throat, no new headache, no new runny nose or no new muscle aches any of which that were aforementioned that cannot be attributed to another health condition or specific activity (such as physical exercise)
- Participant or Parent/Guardian has not been exposed to anyone with COVID-19 within the last 14 days or traveled internationally in any “hot spots’ as declared by the World Health Organization (WHO)
- I will abide by the posted signage in accordance with government regulations and requirements as well as the “Good Citizen Requirements”
- I further understand because of the % of occupancy requirements by the State of Virginia, I may not be granted access to the facility
- I will maintain a safe distance between other members and staff when entering the facility, currently, TEN (10) feet or state required distance at the time I visit the facility
- I will be kind and patient with my fellow members and AFF staff – we are all learning how to adapt to this new normal
- A face mask must be worn by everyone entering and exiting the facility
I have read and fully understand the above guidelines and code of conduct for private/semi-private swim lessons. (Use finger tip or mouse to electronically sign) *

Clear
Date Signed

Month Day Year
Date

Swim Lesson Packages

Swim Lesson Packages

MEMBER

Private Swim Lesson(s) (One Participant)

Available Options	Quantity	Price
Private 30-minute Swim Lesson		$ 30.00
6-Pack (Six Private 30-minute Swim Lessons)		$ 170.00

Item subtotal: $ 0.00

Semi-Private (Two participants from the same family)

Available Options	Quantity	Price
Semi-Private 30-minute Lesson		$ 50.00
6-Pack (Six Semi-Private 30-minute Lessons)		$ 280.00

Item subtotal: $ 0.00

NON-MEMBER

Private Swim Lesson(s) (One Participant)

Available Options	Quantity	Price
Private 30-minute Swim Lesson		$ 43.00
6-Pack (Six Private 30-minute Swim Lessons)		$ 258.00

Item subtotal: $ 0.00

Semi-Private (Two participants from the same family)

Available Options	Quantity	Price
Semi-Private 30-minute Lesson for two participants from same family		$ 66.00
6-Pack (Six Semi-Private 30-minute Lessons for two participants from the same family)		$ 396.00

Item subtotal: $ 0.00

Total $ 0.00

Payment Options:

MEMBERS ONLY: Charge CC on file (must be primary account holder) Pay over the phone (You will be contacted within 24-48 hours to confirm receipt of registration and process payment over the phone. Pay in person (After you submit registration, print registration email receipt and make payment at American Family Fitness club.)
Authorization: I authorize American Family Fitness to charge my credit card as selected above.

Signature (Please sign using mouse or finger) Clear
Should be Empty:

Private & Semi Private Lessons

Registration Information