Recurring Lessons Sign Up

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 calendar availability.

Recurring Lessons are reserved by monthly payments. A credit card authorization form must be on file. *Students who are absent for three (3) or more consecutive lessons will lose their Recurring Lesson space.*

Private Lessons: 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.

Semi-Private Lessons: Please include both children's names, ages and attitudes/experiences with water.

Just keep swimming.

* Indicates required field

Your Name *

First

Last

Phone Number *

Email *

Preferred Method of Contact? *

Email Phone Text Phone Call

Swimmer's Name & Age *

Swimmer's Attitude and Experience with water *

Pool Location? *

Lesson Type *

Preferred Day(s) *

Preferred Time(s) *

Start Date *

If you have a preferred instructor please list them here *

Anticipated Missed Dates + Questions/Comments *

Choose Any *

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

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Email

[email protected]

PHONE / TEXT

6 1 7 - 8 6 0 - 2 2 0 3

Confidence in water, confidence through life.

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