Private Swim Lesson Registration
Thank you for your interest in private/semi-private lessons. Once we receive this form, we will match you up with an instructor that fits your needs and preferred times.This process can take up to 2 weeks.
Select lesson type (Choose 1 of the 4 below)
1 - Private Lesson (member)
2 - Private Lesson (non-member)
3 - Semi-Private Lesson 2-3 students (member) See note below.
4 - Semi-Private Lesson 2-3 students (non-member) See note below.
*Participants are responsible for enrolling all individuals of a semi-private lesson. We are not able to match schedules or ability levels on behalf of participants.
The Swim Department is not able to match schedules, goals or ability levels on behalf of participants.
Desired type of Private Lesson*
List days/times you are looking for. Please note we currently DO NOT offer lessons the following times: Monday-Thursday 8:30a-11a and 4p-7p and Saturdays 9:30a-12p*
E-mail*
Phone Number*
Area Code Phone Number
Address*
Street Address
Street Address Line 2
City State / Province
Postal / Zip Code Country
Contact Name*
First Name Last Name
Participant's Name*
First Name Last Name
Participant's Birth Date*
Month Day Year
Participant's Sex*
If enrolling other individuals for semi-private lessons, list their info below:
2nd Participant's Name
First Name Last Name
Birth Date
Month Day Year
Sex
Participant's Name
First Name Last Name
Birth Date
Month Day Year
Sex
Office Use Only:
Staff Signature*
Enter the message as it's shown*
Should be Empty:

Private Swim Lesson Registration

*Participants are responsible for enrolling all individuals of a semi-private lesson. We are not able to match schedules or ability levels on behalf of participants.