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Private Swim Lesson Request

Private Swim Lesson Request Form
Please fill out the form below if you are interested in private swim lessons. A member of the Aquatics staff will contact you to discuss availability.
Participant First Name*
Participant Last Name*
Participant's Age*
Participants Date of Birth*
Participants Date of Birth
Additional Comments
Parent or Guardian First Name*
Parent or Guardian Last Name*
Phone Number*
Email*
Email Confirmation*

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1. Receive an email copy of this form.
Email address

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Private Swim Lesson Request

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