Book A Session

Email *

Name *

First

Last

Phone *

When Are You Available? *

When is a good time to call?

Swimmer's Name *

First

Last

Swimmer's Date of Birth *

Please enter birth date in the MM/DD/YYYY format.

Swimmer's Age *

Type of Lessons *

Prior Lessons? *

Has the student had prior lessons?

Got Floaties? *

Has the swimmer previously used water wings, puddle jumpers, floaties, PFDs, or other flotation devices to swim?

What Else?

Use the space below for comments and questions. Thank you.

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