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Private Lesson Application

  1. Last, First

  2. (If applicable)

  3. Month / Day / Year

  4. If unknown, give brief description of current skills.

  5. Parented (3-36 months)*

  6. Preschool (3-6 years)*

  7. Swim Kids (5+)*

  8. Adult Lessons

  9. Please remember that this is an application form, and does not guarantee you a private session, though we we will do our best to work with you to accommodate your requested times.

  10. Leave This Blank:

  11. This field is not part of the form submission.