Lake View YMCA Aquatics:

Private Swim Lesson Request Form

Download Private Swim Lessons Information and Pricing

Today's Date

I have reviewed the Lake View YMCA Private Swim Instructor Biographies and would like to be contacted by the following instructor:

Instructor's Name

I am available for lessons during the following * times:

Times Available

*All private lessons are done during open and family swim for beginners. Students that can swim 1 lap non-stop may have their lesson during lap swim. Check the pool schedule to find the best times that will work for you.

Please enter the following information about the individual that would like to take part in private swim lesson:

Name

Adult Child

Email

Phone

Address

Parent's Name

(if participant is a minor)

Swim Level

Beginner Intermediate Advanced

Please check all that apply:

Is there any other information that you would like to share with us
regarding your swimming ability?