homepage programs

Private Swim Lesson Payment Form

Private Swim Lesson Payment Form

Please only fill this form out if your private swim lesson enrollment has been confirmed by the Aquatics Director.

Child's Full Name(Required)
MM slash DD slash YYYY
Child’s Birthday
Parent / Guardian's Full Name(Required)
Emergency Contact's Name(Required)
Liability Waiver(Required)
Pool Rules(Required)
Private Swim Lesson Payment(Required)
Billing Address(Required)