Swimming Private Lessons

Enrollment Form

Parent / Legal Guardian - First Name *

Parent / Legal Guardian - Last Name *

Phone *

Email *

Address *

City *

State *

Postal code *

Private Swimming Lessons - How Many Children Do You Have?

1

2

3

Student 1 - First Name *

Student 1 - Last Name *

Student 1 - Date of Birth *

How many lessons would you like to enroll your child in? *

What days would you like to attend?

What time would you like to attend?