Lesson Inquiry Form

Fill out the fields below and we'll reach out to you within 24 hours to discuss next steps.

Contact's First & Last Name

Adult Swimmer or Parent

Phone number

Email

Number of children

How many children are you inquiring about?

Swimmer's Name

Multiple swimmers separate with commas

Swimmer's Age

Multiple swimmers separate with commas

Current Swim Level

For multiple swimmers give separate details in notes section below.

Lesson Setting

Parent & Child

One-on-one

Open to Group Lesson if Offered

Lesson Location

Preferred Practice Timeframe

Mornings

Early Afternoons

Late Afternoons

Evenings (Tuesdays through Thursdays only)

Choose all that apply

Swim Goals