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Private Swim Lessons

Private Swim Lessons


Summer 2016

Private Swimming Lessons

July 2016 & August 2016

8 am - 4:30 pm

Lessons are 30 minutes each.

Price:

$120 for 4 private lessons per week
$150 for 5 private lessons per week

Swimmer's / Parent's Information
Child's Name
First
Middle Last
Address
Street
City Prov
Postal
Child's Date of Birth
Parent's Contact Info
Home Phone
Email
Child's Mother
Mother's Name
Hebrew Name Work Phone Cell
Child's Father
Father's Name
Hebrew Name Work Phone Cell
Emergency Contact
Name
Phone Relationship
Pediatrician
Name
Phone
Swim Level

First come, first served!

Spots are only reserved upon advanced payment.

Please select the weeks and times that you would like your child to attend private swimming lessons.

Once a space has been booked it will be indicated on the form and you will no longer be able to book it.


Tuesday, July 5, 2016 - Friday, July 8, 2016
Price $120

Morning Afternoon
8:00 am 3:30 pm
8:30 am 4:00 pm
4:30 pm


Monday, July 11, 2016 - Friday, July 15, 2016
Price $150

Morning Afternoon
8:00 am Booked 3:30 pm
8:30 am 4:00 pm
4:30 pm

Monday, July 18, 2016 - Friday, July 22, 2016
Price $150

Morning Afternoon
8:00 am Booked 3:30 pm
8:30 am 4:00 pm
4:30 pm


Monday, July 25, 2016 - Friday, July 29, 2016
Price $150

Morning Afternoon
8:00 am Booked 3:30 pm
8:30 am 4:00 pm
4:30 pm


Monday, August 1, 2016 - Thursday, August 4, 2016
Price $120

Morning Afternoon
8:00 am 3:30 pm
8:30 am 4:00 pm
4:30 pm

Monday, August 15 , 2016 - Friday, August 19, 2016
Price $150

Morning Afternoon
8:00 am (no class on Monday) 12:00 pm (no class on Monday)
8:30 am (no class on Monday)
9:00 am (no class on Monday) 2:00 pm
9:30 am (no class on Monday) 2:30 pm
10:00 am (no class on Monday) 3:00 pm
10:30 am (no class on Monday) 3:30 pm
11:00 am (no class on Monday) 4:00 pm
4:30 pm

Monday, August 22 , 2016 - Friday, August 26, 2016
Price $150

Morning Afternoon
8:00 am 12:00 pm
8:30 am
9:00 am 2:00 pm
9:30 am 2:30 pm
10:00 am 3:00 pm
10:30 am 3:30 pm
11:00 am 4:00 pm
4:30 pm


Total Cost:

Payment
All forms must be completed and submitted with payment.

Mastercard Exp.Date

Visa Exp.Date

Amex Exp.Date

Name on Card:

Security Code:

Notes:

Date of Application:

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