Water Otters

Do you…

1. Want to know about schedule availability?

2. Want to sign up?

3. Just need more information?

…You have come to the right place!

Please fill out this form to help us best understand your needs (it should take less than 5 minutes). After we receive your information, a team member will contact you after we have had a chance to organize the schedule (no earlier than March 1st). We encourage you to submit your schedule request as soon as possible since classes fill up quickly.

STEP 1 | Primary Contact Information

Primary Contact Name*

Cell Phone Number*

Email*

Contact Preference*
AnyCellTextEmail

Referred By
FacebookYelpInternetFriend

Friend's Name

STEP 2 | Student Information

Student's Name*

Student's Birthdate*

Student's Age*

Has the student had swim lessons in the past?*
YesNo

Was it with a swim school or instructor OTHER than Water Otters?
YesNo

What is the name of the swim school?

Are you requesting a specific instructor?
YesNo

Please select your instructor preference
Jennifer, Lead Instructor (special pricing applies)Other highly trained Water Otters Instructor

My student is an adult, under 24 months, or a student with specific needs.
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)

Is there additional information that would help the instructor understand the student's specific needs?
YesNo

Please select the student's specific need(s)
Sensitive to touch or soundReceives speech or other types of therapiesHas a school-issued IEPPrior water trauma or negative swim lesson experienceOtherI prefer to discuss my student's specific needs in more detail privately with a Water Otter's Team Member before lessons begin

Would you like to add a second student?
YesNo

STEP 2 | Student #2 Information

Student #2's Name*

Student #2's Birthdate*

Student #2's Age*

Has student #2 had swim lessons in the past?*
YesNo

Was it with a swim school or instructor OTHER than Water Otters?
YesNo

What is the name of the swim school?

Are you requesting a specific instructor for student #2?
YesNo

Please select your instructor preference for student #2
Jennifer, Lead Instructor (special pricing applies)Other highly trained Water Otters Instructor

Student #2 is an adult, under 24 months, or a student with specific needs.
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)

Is there additional information that would help the instructor understand the student #2's specific needs?
YesNo

Please select the student #2's specific need(s)
Sensitive to touch or soundReceives speech or other types of therapiesHas a school-issued IEPPrior water trauma or negative swim lesson experienceOtherI prefer to discuss my student's specific needs in more detail privately with a Water Otter's Team Member before lessons begin

Would you like to add a third student?
YesNo

STEP 2 | Student #3 Information

Student #3's Name*

Student #3's Birthdate*

Student #3's Age*

Has student #3 had swim lessons in the past?*
YesNo

Was it with a swim school or instructor OTHER than Water Otters?
YesNo

What is the name of the swim school Student #3 attended?

Are you requesting a specific instructor for student #3?
YesNo

Please select your instructor preference for student #3
Jennifer, Lead Instructor (special pricing applies)Other highly trained Water Otters Instructor

Student #3 is an adult, under 24 months, or a student with specific needs.
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.

Is there additional information that would help the instructor understand the student #3's specific needs?
YesNo

Please select the student #3's specific need(s)
Sensitive to touch or soundReceives speech or other types of therapiesHas a school-issued IEPPrior water trauma or negative swim lesson experienceOtherI prefer to discuss my student's specific needs in more detail privately with a Water Otter's Team Member before lessons begin

STEP 3 | Pool Preference

Would you like the lessons to take place at the Water Otters Pool located in Winnetka?
YesNo

Great! The specific pool address will be provided after registration and payment have been received.

Would you like the lessons to take place at your pool?
YesNo

What type of pool do you have?
Private Residence PoolPrivate Facility Pool (Apt or Condo)

Please note, acceptable options are either your pool or a family member's pool.

Please note, we only teach in pools that are located at single residence homes and privately owned.

Is your pool heated?
YesNo

Please note, we only teach in pools heated between 88-92 degrees. This temperature range is critical so that the focus of the lesson can be on learning and enjoyment.

What is the pool address?

STEP 4 | Session Preference

Private lessons begin at the end of March and run through the end of September.

• 3 Week Session: 20-minute private lessons three times a week (for 3 consecutive weeks)
• Package Price of $405 (9 lessons total) *Sessions are pro-rated when a holiday occurs.
• Each week, lessons will be on Monday, Wednesday and Friday.

Please know that lessons in the early summer months are the most popular.

Select as many Sessions as possible that would work for your family as the more options you give us the better chance you have of securing your desired Session(s).

Typically, families sign up for 2 or more Sessions each season.

Spring Break Clinic weeks are during Session #2. If you would like to participate in the 1st, 2nd, or 3rd week (or any combination of weeks) please select Session #2 and then indicate your desired week(s).

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 to secure your desired preferences.

Which Session(s) would you like? Please select as many as possible.
Session #2 (April 11 - April 15) Week Long Clinic - All 5 DaysSession #2 (April 18 - April 22) Week Long Clinic - All 5 DaysSession #2 (April 25 - April 29) Week Long Clinic - All 5 DaysSession #3 (May 2 - May 20)Session #4 (May 23 - June 10)Session #5 (June 13 - July 1)Session #6 (July 4 - July 22)Session #7 (July 25 - August 12)Session #8 (August 15 - September 2)Session #9 (Sept 5 - September 23)

How many of the above selected Sessions would you like?AllSome

If the sessions I have selected above are unavailable I would like to indicate my 2nd choice.
YesNo

Please indicate which alternative session(s) might work for your schedule.

Please add my email to the waiting list and informational newsletter if my preferences are unavailable.YesNo

If you are on the waitlist, when would you like lessons?
ASAPAnytimeMayJune or JulyAugust or September

Do you have comments, questions, or need more information from Water Otters (i.e. how many sessions would be appropriate for your family) Or do you need more information from someone else before choosing a Session? (i.e. camp schedule, or travel plans)?
YesNo

Please indicate your comments or questions in the box below.

Private Lessons are typically Monday, Wednesday, and Friday (3 days a week). If we were to open a Tuesday, Thursday (2 days a week) schedule option, would that work for your student(s)?
YesNo

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

STEP 5 | 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.

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 time spots. Please know that late afternoon lesson times are the most popular.

Do you have a time preference?
YesNo

Please select as many times as possible.

Would you like Morning (9:00 AM - 11:40 AM)?
YesNo

Please select as many times as possible.
9:00 AM9:20 AM9:40 AM10:00 AM10:20 AM10:40 AM11:00 AM11:20 AM11:40 AMAll

Would you like Early Afternoon (12:00 PM - 2:40 PM)?
YesNo

Please select as many times as possible.
12:00 PM12:20 PM12:40 PM1:00 PM1:20 PM1:40 PM2:00 PM2:20 PM2:40 PMAll

Would you like Late Afternoon (3:00 PM - 7:00 PM)?
YesNo

Please select as many times as possible.
3:00 PM3:20 PM3:40 PM4:00 PM4:20 PM4:40 PM5:00 PM5:20 PM5:40 PM6:00 PM6:20 PM6:40 PM7:00 PMAll

Do you have comments, questions, or need more information from Water Otters before choosing your time preferences? Or do you need more information from someone else before choosing a time? (i.e. camp schedule, or travel plans)
YesNo

Please indicate your comments or questions in the box below.

Is there anything else you would like us to know?
YesNo

Please indicate your comments or questions in the box below.

Please read carefully and check each box.

I understand that there are no makeups or refunds for missed private lessons for any reason (NO exceptions).
I understand that instructor preference can be noted but may not be guaranteed.
I understand that payment in FULL (for all lessons scheduled) is due upon registration.
I understand that openings on the swim schedule are subject to availability and fluctuate daily.
I understand that submitting this form does not guarantee lesson dates or times.
I understand that after my Schedule Request Form has been received, I will be contacted with current available lesson dates and times as well as information about how to register, pay, and secure my desired lesson times. The specific pool address will be provided after payment has been made.