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Indoor Swim Lesson Request Form

Thank you for your interest in indoor swim lessons.

Please submit your preference for swim lessons and we will work with you to create an indoor swim plan accordingly.

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Thank you for submitting an Indoor Swim Lesson request! We will reach out to you to create an indoor swim lesson plan accordingly.

Your Name(required)

Email(required)

Phone(required)

Name and Age of Participant(s) (required)

Indoor Swim Lesson Option(required)

30-Minutes for 1 Participant: $45 30-Minutes for 2 Participants: $55 60-Minutes for 1 Participant: $85 60-Minutes for 2 Participants: $85

Preferred dates and times for swim lessons? (required)

Saturdays 2:00pm-3:00pm (Gaithersburg) Saturdays 3:00pm-4:00pm (Gaithersburg) Saturdays 4:00pm-5:00pm (Gaithersburg) Saturdays 5:00pm-5:30pm (Gaithersburg) Sundays 2:00pm-3:00pm (Takoma) Sundays 3:00pm-4:00pm (Takoma)

Preferred Swim Lesson Frequency?(required)

Weekly Every Other Week Monthly Flexible

Would you be interested in combining private lessons with occasional group swim practices?

Yes No Maybe

Would you like to be notified if a lesson slot becomes available due to another reschedule?

No Yes, we are flexible with less than 24 hour notice Yes, at least 1-2 days notice is needed Yes, at least 3-5 days notice is needed Yes, at least 7+ days notice is needed

New Lesson Participants – Please briefly describe the participant’s swim experience.

Referred By?

Exercise Network

Live. Life. Healthier.

Email: exercisenetwork@enllc.net

Certifications

Certified Swim Coach
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