Private Swim Lessons | Payment Form

Child's Name(Required)

First Last

Which swim lesson session(s) are you confirmed for?(Required)

Session 1 – May 28 to July 15

Session 2 – July 16 to September 2

Sessions 1 & 2 – May 28 to September 2

(Session 1) How many private lessons per week are you confirmed for?(Required)

1 Lesson / Week ($210)

2 Lessons / Week ($420)

(Session 2) How many private lessons per week are you confirmed for?(Required)

1 Lesson / Week ($210)

2 Lessons / Week ($420)

(Sessions 1 & 2) How many private lessons per week are you confirmed for?(Required)

1 Lesson / Week ($420)

2 Lessons / Week ($840)

Total

Billing Email(Required)

Credit Card(Required)

Card Details

Cardholder Name

Billing Address(Required)

Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Country

Total

2023 Swim Season