First Name:

Last Name:

Child's
Name(s)
 Age

Age

Age

Phone #s

Home:

Work:

Cell:

Best time to call:

Email Address:

Class:
 Swimming
Snorkeling
Skill Level:
(Show Levels)
 Beginner A
Beginner B
Adv. Beginner
Intermediate
Advanced
Class Time
Preferences:
Mornings:
(Sat., Sun., Mon., Tues.)
9 10 11
Afternoons:
(Mon. & Tues.)
3 4 5 6
No classes Wed. through Fri.

 Please keep in mind that students of all ages make the most progress completing their 4 classes within one week’s time. One class a week doesn't work very well and I wouldn't recommend it to anyone serious about learning how to swim.

Comments

Questions: