Private Swim Lesson Request Form

Student Information:





Parent/Guardian Information:

(if applicable)






(beginner, competitive, etc.)

(learn to swim, triathlon training)

Best Available Times:
(Note: lessons take place only during open pool hours, please see schedule below and check your preferences)

Monday, Wednesday, Friday 6 – 10 a.m.
Tuesday, Thursday 8 – 10 a.m.
Monday through Friday 11:30 a.m. – 1 p.m.
Monday through Thursday 4 – 6 p.m.
Saturday and Sunday 1 – 4 p.m.


(Gender preference for instructor, special needs, etc.)


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