youth aquatics, inc.
Sign up to secure your child's Recurring swim lessons!
This is a request form for booking recurring swim lessons, same day and time each week. Please include the day and time you wish to select based on our
*Students who are absent for three (3) or more consecutive lessons will lose their Recurring Lesson space.*
One child per sign-up form. If you are looking to sign up multiple children for recurring private lessons, please fill out a separate form for each child.
Please include both children's names, ages and attitudes/experiences with water.
Just keep swimming.
Indicates required field
Preferred Method of Contact?
Swimmer's Name & Age
Swimmer's Attitude and Experience with water
Hilton DoubleTree (400 Soldiers Field Road)
InterContinental Boston (510 Atlantic Ave)
Millennium Tower Boston (RESIDENTS ONLY)
EchelonSeaport (RESIDENTS ONLY)
The first day you would like to begin lessons
The last day you would like to book lessons
If you have a preferred instructor please list them here
please note, we will do our best to accommodate client's request but cannot guarantee you will receive the instructor of your choice
Anticipated Missed Dates + Questions/Comments
I have read and accept the Youth Aquatics, Inc. Terms of service
YOUTH AQUATICS TERMS OF SERVICE
I agree to receiving marketing and promotional materials
PHONE / TEXT
6 1 7 - 8 6 0 - 2 2 0 3
Confidence in water, confidence through life.
Terms and Conditions
© 2020 Youth Aquatics, Inc.