Swimmer and Parent Information

Question Title

1. Parent or Guardians Name (first and last)

Question Title

2. Email

Question Title

3. Phone Number

Question Title

4. Swimmer Name (first and last)

Question Title

5. Swimmer Age

Question Title

6. Choose the times that you would prefer to have your lesson during, times can be scheduled between swimmers and instructors, based on pool availability. 

Question Title

7. Request an instructor (we will do our best to accommodate this)

Question Title

8. Please provide a brief description of what you would like your swimmer to work on as well as other comments or concerns.

T