Parent/Guardian Name(Required)

First Last

Participant's Name(Required)

First Last

Date of Birth(Required)

Address(Required)

Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Country

Phone(Required)

Email(Required)

Private Swim Lessons

Private Lessons will be at a selected time of the week for the duration of the month.

PRIVATE LESSON RATE

MEMBER RATE: $30/lesson, $120/4 lessons

GUEST RATE: $35/lesson, $140/4 lessons

Lessons are sold in packs of 4.

DAYS OF THE WEEK: CHOOSE ANY DAYS YOU ARE AVAILABLE

Monday – Afternoons

Tuesday – Afternoons

Wednesday – Afternoons

Thursday – Afternoons

Saturday – Mornings

Saturday – Afternoons

After you submit the form, we will contact you and try to schedule lessons with an instructor as soon as possible.

Notes/Concerns/Ideas/Requests

Please indicate any needed accommodations or requests. As mentioned above, if you have chosen different days for different times, please indicate in this box which days correlate to which times.

Credit Card Number(Required)

Name On Card(Required)

Expiration Date(Required)

CVV(Required)

Do you have any additional questions for the Aquatics Director? Please indicate those below. If everything looks correct, submit this form, and the Aquatics Director will be with you shortly!

2025 Private Swim Lessons

Private Swim Lessons

A Place Where You Belong