Private Swim Lesson Application

These lessons are available at a first come first serve basis. Special arrangements and instructor availability will determine exact times and dates. Please note: All swim lessons are NON-REFUNDABLE.

Personal Information

(If Applicable)

Address

Emergency Contact Information

Emergency Contact 1

Address

Emergency Contact 2

(If Applicable)

Address

Swim Experience

What is the participant's level of swim experience? Please select the answer best describing the participant.

This description will help us match the participant with the instructor that is best able to help!

Availability

Please select the times that you are available. (You can select more than one option)