Swim Lessons: Summer 2023 WAITLIST

Child First Name *

Child Last Name *

Age Group *Ages 4-5Ages 6-7Ages 8-11Ages 12-16 (Mon/Wed only)

Child's Water/Swim ExperienceNo experience but excited!Frightened/negative previous experience (tell us more below)Is comfortable putting their face in the waterCan float on their ownCan tread water on their ownCan "dog-paddle"Can do basic overhand stroke

Is there anything else we should know about your child?(Previous negative experience, neurodiversity, medical concerns, etc)0 / 180

Parent/Guardian 1: First Name *

Parent/Guardian 1: Last Name *

Parent/Guardian 1 Phone Number *

Parent/Guardian 1 Email Address *

Waitlist for Swim Lessons