Copy of Private Lessons Swimmer and Parent Information Question Title 1. Parent or Guardians Name (first and last) OK Question Title 2. Email OK Question Title 3. Phone Number OK Question Title 4. Swimmer Name (first and last) OK Question Title 5. Swimmer Age OK Question Title 6. Choose the times that you would prefer to have your lesson during, currently private lessons can only be taught 6-7pm Monday-Friday and Sundays 1-6pm 1 2 3 6:00pm-6:30pm 1 2 3 6:30pm-7:00pm 1 2 3 1:00pm-6:00pm Sundays OK Question Title 7. Request an instructor (we will do our best to accommodate this) OK 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. OK DONE