Media

    STEP 1 | Primary Contact Information





    AnyCellTextEmail


    YesNo


    FacebookYelpInternetFriend

    STEP 2 | Student Details





    YesNo


    YesNo



    YesNo


    YesNo


    No ProblemDoesn't like itHates itDon't know


    YesNoI don't know

    Specific needs may include sensitivities to touch or sound, receiving speech or other types of therapies, has a school-issued IEP, prior water trauma, or negative swim lesson experience.


    YesNo



    YesNo

    STEP 2 | Student #2 Information





    YesNo


    YesNo



    YesNo


    No ProblemDoesn't like itHates itDon't know


    YesNoI don't know

    Specific needs may include sensitivities to touch or sound, receiving speech or other types of therapies, prior water trauma, or negative swim lesson experience)


    YesNo



    YesNo

    STEP 2 | Student #3 Information





    YesNo


    YesNo



    YesNo


    No ProblemDoesn't like itHates itDon't know


    YesNoI don't know

    Specific needs may include sensitivities to touch or sound, receiving speech or other types of therapies, prior water trauma, or negative swim lesson experience.


    YesNo


    STEP 3 | Session Date Preference

    Private Lesson Package Information

    • Each Session is 3 weeks.
    • Each week, lessons will be on Monday, Wednesday and Friday.
    • Each lesson is 20-minutes.
    • Package Price is $405 (9 lessons total) *Sessions are pro-rated when a holiday occurs.

    Private Lessons begin at the end of March and continue through the end of September (see specific date options below).

    You must be available for all 3 weeks of each session(s) you are signing up for.

    We understand that your summer plans may be undecided at this time, but please know the schedule fills up quickly. The sooner you can get us your information the more likely you will be able to secure your desired preferences.

    1 Session2 Sessions3 SessionsUndecided





    If the Tuesday, Thursday schedule becomes an option, we will be sure to contact you.

    STEP 4 | Time Preference

    We suggest choosing times when the student(s) are most awake and alert. Times that do NOT occur too close to nap or meal times are ideal.

    Remember to account for travel and transition time from other activities and PLEASE PLEASE PLEASE be sure that times selected accurately reflect when you are available.


    Please select as many times as possible that would work for your family as the more options you give us the better chance you have of securing your desired times. Please know that late afternoon lesson times are the most popular.



    9:00 AM9:20 AM9:40 AM10:00 AM10:20 AM10:40 AM11:00 AM11:20 AM11:40 AMAll






    STEP 5 | Acknowledgments

    Please read carefully and check each box.