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Private Swim Lesson Application
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Information
Guidelines
The private swimming lesson program is available for those 3 years of age and older and must be 3 years old by first lesson.
Lessons will be scheduled according to instructor and pool availability.
Lesson fees are $20.00 per half hour.
Keep your receipt.
Cancellation must be made 24 hours prior to the first scheduled lesson to receive a partial refund.
Student's First Name
*
Student's Last Name
*
Today's Date
*
Today's Date
Birth Date
*
Birth Date
Age
*
Current Swim Level
*
Parent's Name
*
Phone
*
Number of Lessons Desired
*
Staff Preference
Lesson Goals
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Times
First Choice
You will be contacted by a lesson instructor to set up an exact day and time for your lessons. Thank you.
Date
Day
Time
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Date
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Time
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