Brooklyn private independent school

Private Lesson Form


Parents Namerequired
First Name
Last Name
Swimmer's Namerequired
Swimmer's Date of Birthrequired
Email Addressrequired
Phone Number
Do you have an Athletic Center membership?required

Lesson Details

How long do you want the lesson to be?required
Lesson Availability (Check all availability)

Swimmer Details

Please check all that describe the swimmer:
Swimmer Goals
Comments, questions, etc